You’ve been working hard in the gym and monitoring your calorie intake – not an easy feat, especially during the holiday season. (The eggnog will get you.) Now, you’ve lost a lot of weight. Yay! However, you may have excess skin sagging in your abdomen, thighs, face or arms. This happens because the elastin and collagen in your skin get damaged, making it more difficult to “snap back” to taut skin.

It can be hard to feel excited about your accomplishment when you feel insecure about excess skin. It can also be uncomfortable or difficult to find clothes that fit properly. But there are some solutions. We examine the safest and most effective skin-tightening practices and treatments. 

Why does skin sag?

As you age, your body will have lower amounts of elastin and collagen, which are responsible for keeping your skin elastic and firm. Weight gain and pregnancy can also damage the elastin and collagen fibers. When you lose weight, it may be difficult for your skin to bounce back. 

How to tighten skin after weight loss? 

There are many products out there that claim their cream will lead to tightened skin. Unfortunately, there isn’t sufficient evidence that would suggest at-home treatments are very effective. The American Academy of Dermatology writes that these creams do not penetrate deep enough to lift sagging skin. They explain that some moisturizers can give your skin a more “plump” look, but that the results are usually temporary. 

There are, however, effective medical treatments – both non-invasive (non-surgical) and invasive (surgical).

Can you actually tighten your skin after weight loss?

Yes! There are several non-invasive treatments that are recommended by dermatologists and plastic surgeons. These treatments consist of: 

• Ultrasound. The American Board of Cosmetic Surgery writes that in this procedure, a handheld device transmits energy through the skin (about 5 mm) which induces collagen production. 
• Radiofrequency. In this procedure, fine tubes or needles are inserted into the skin to heat up the tissue underneath it. Similar to an ultrasound, this will also stimulate collagen production and tighten the skin. 
• Laser treatments. According to the Mayo Clinic, laser resurfacing is a procedure that uses a laser to destroy the top layer of the skin and heat up the next layer, which increases collagen production. 

It’s important to note that even though collagen production stimulation is integral to all of these treatments, collagen supplements have not been proven as an effective treatment. 

Your dermatologist or plastic surgeon may recommend one of these procedures or a surgical procedure, particularly if you’ve lost a large amount of weight. 

Ozempic face?Don't use the term. It's offensive and unhelpful.

Can loose skin be removed after weight loss? 

Yes, there are a few different surgical procedures that can be performed. The most common ones are:

• A “tummy tuck.” A “tummy tuck” or abdominoplasty removes excess skin from the abdomen and tightens the stretched-out abdominal muscles.
• Lower body lift. A lower body lift (or circumferential body lift) tightens the skin on the abdomen, thighs and buttocks. It also tightens stretched abdominal muscles.
• Panniculectomy. A panniculectomy simply removes the excess skin from your abdomen. 
• Thigh and buttock lift. This procedure removes excess skin around the thighs and buttocks while also creating a smoother, more contoured, look. 
• Upper body lift. The same as a thigh and buttock lift but around the arms, breasts and back/bra line. 

Excess skin can be frustrating, but with help from a trusted medical professional, you can feel confident about your recent weight loss.

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