I am 5’10 and 170lbs. My goal weight is 140lbs. I am at a stand still with my weight loss although my heaviest weight was nearly 400 pounds. I feel like I am ready for a total body lift, but I’m concerned that after surgery I will lose a few extra pounds and have saggy skin all over again.
Congratulations on your weight loss! As you may be aware, body lifts can be used to treat excess skin, cellulite and sagging fatty tissue. Many people who have achieved significant weight loss (100 pounds or more) due to bariatric surgery (such as gastric bypass or Lap-Band) or through diet and exercise are often left with large amounts of heavy, loose folds of skin around the abdomen, arms, thighs, breasts, buttocks and face. This skin can sag and lose elasticity as a result of being stretched for a long period of time, and often fails to shrink back to its former size and shape. In addition, excess skin can limit mobility and result in rashes and other sores that may lead to infection.
Before deciding to undergo body lift surgery, your weight must be relatively stable for at least a year. Women considering future pregnancies should postpone an abdominal body lift since pregnancy may reduce the procedure’s overall results.
In evaluating the proper timing for body contouring surgery after massive weight loss, look at the areas where you are still out of proportion. If you have generalized areas that are still heavy, consider more weight loss. But, if you have sagging skin all over, after a body lift you may be pleasantly surprised that you will be quite close to your desired weight and look. An old rule of thumb was for females 100 pounds for 5 feet and 5 pounds for each inch above.
Another factor is the quality of your skin. If you have stretch marks in specific places, you have an idea whether there will be much stretching after surgery.