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  • loose skin...

    here is an article I found on loose skin. I thought it was helpful.

    Loose Skin And Weight Loss
    Everything You Need To Know About Loose Skin And Weight Loss
    By Tom Venuto, NSCA-CPT, CSCS
    www.burnthefat.com

    I receive a lot of e-mail from people with loose skin or from overweight people who are concerned about having loose skin after they lose the weight. In fact, this is one of the biggest concerns and most frequently asked questions I receive from men and women who have a lot of weight to lose.

    Just recently, I received this email from a reader of my syndicated "Ask Tom" fat loss column:

    "Tom, I began a fat loss program using your Burn The Fat system</B> and it worked so well I got down to 15 1/2 stones (from 19). However, this has caused me a problem: Excess abdominal skin. I didn't crash lose this weight, it came off at the rate of about 2 lbs. per week just like you recommended. Now I'm unsure of whether to carry on, as my abdomen has quite a lot of excess skin - I feel like I've turned into a bloody Shar-Pei! Does everyone go through this? Will the skin tighten up? I was overweight for more than 12 years. Am I going to end up needing surgical skin removal? Can you offer me any advice? I'm a medical student in the UK and my colleagues seem determined to proffer surgery as the only option."

    By losing weight slowly and sensbibly, you can put the odds in your favor. The list of 14 points below will help you better understand the causes and potential solutions to this cosmetic problem.:

    1. Skin is incredibly elastic. Your skin can stretch and expand or tighten and retract to a great degree. Look at what women go through during pregnancy. Some women do experience stretch marks after pregnancy, but obviously skin is remarkably elastic.

    2. Elasticity of skin depends on both genetics and environment/lifestyle. Wrinkling and loss of elasticity is partly the consequence of aging (genetic factors) and also a result of environmental factors such as oxidative stress, excessive sun exposure, and nutritional deficiency. The environmental parts you can fix, the genetics and age part, you cannot. Advice: Get moving and change the things you have control over... Be realistic and don't worry about those things you don't have control over.

    3. How much your skin returns to its former tautness depends partly on age. The older you get, the more an extremely large weight loss can leave loose skin that will not return to normal.

    4. How long you carry extra weight may influence how much the skin will become taut after the weight loss: For example, compare a 9 month pregnancy with 9 years carrying 100 excess pounds.

    5. How much weight was carried has a lot to do with how much the skin will resume a tight appearance. Your skin can only be stretched so much and be expected to "snap back" one hundred percent. With extreme obesity, the probability of there still being loose skin after weight loss is higher.

    6. How fast the weight was gained also has a lot to do with how much the skin will resume a tight appearance. Your skin can only be stretched so quickly and be expected to "snap back."

    7. How fast weight is lost also has a lot to do with how much the skin will tighten up. Rapid weight loss doesn't allow the skin time to slowly resume to normal. (This is yet another reason to lose fat slowly; 1-2 pounds per week, 3 pounds at the most if you have a lot of weight to lose, and even then, only if you are measuring body fat and you're certain it's fat you're losing, not lean tissue).

    8. There are exceptions to all of the above; For example, people who gained and then lost incredible amounts of weight quickly at age 50 or 60, and their skin returned 100% to normal.

    9. Creams probably don't work. There are many creams advertised as having the ability to restore the tightness of your skin. the late bodybuilding guru Dan duchaine used to recommend topical creams made with pycnogenol, which contain the antioxidant bioflavanoids called proanthocyanidins. But to the best of my knowledge, none of the topical creams are scientifically validated. I haven't even heard much anecdotal evidence that they work -- at least not permanently and measurably -- and especially if you have a lot of loose skin. There are definitely some topicals that will pull water from under your skin, but remeber, that is temporary. Buyer should beware with topical products. (as an aside, Ive also heard anectodal reports that skin brushing was helpful, but again, I am not aware of any scientific evidence proving this is effective).

    10. Nutrition has a lot to do with the health of your skin. Essential fatty acids in particular are very valuable for many reasons, and one of them is for the health of your skin. It would be worth taking an EFA supplement such as fish oil, flax oil or an oil blend like Udo's choice. Antioxidants are also very important, so be sure to consume copious amounts of a variety of vegetables and fruits. Also pay very close attention to hydration. Drink approximately a gallon of water a day or a minimum of half your body weight in ounces. (By the way, whey protein is high in a powerful antioxidant called glutathione).

    11. Exercise has a lot to do with how your skin appears after you lose body fat. If you use very low calorie diets, you are likely to lose lean body mass, and this is going to exacerbate the loose, hanging skin appearance. On the other hand, if you are exercising regularly and increasing lean body mass with weight training, you will be more likely to minimize the appearance of loose skin.

    12. Get second opinions if you are considering surgery. If you're considering surgical skin removal, consult a physician for advice because this is not a minor operation, but keep in mind that your plastic surgeon may be making his BMW payments with your abdominoplasty money. (Surgery might be recommended in situations where it's not 100% necessary). Surgery should be left as the absolute final option in extreme cases.

    13. Give your skin time. Your skin will definitely get tighter as your body fat gets lower. I've seen and heard of many cases where the skin gradually tightened up, at least partially, after a one or two year period where the weight loss was maintained and exercise continued.

    14. Know your body fat percentage before even thinking about surgery. Loose skin is one thing, but still having a lot of body fat is another. Be honest with yourself and do that by taking your body fat measurement. This can be done with skinfold calipers or a variety of other devices (calipers might not be the best method if you have large folds of loose skin. Look into impedance analysis, underwater weighing, DEXA or Bod Pod).

    Suppose for example, a man drops from 35% body fat all the way down to 20%. He should be congratulated, but I would tell him, "Don't complain about loose skin yet, your body fat is still high. Press onward and keep getting leaner and be sure to focus on strength training to increase lean body mass as well."



    Average body fat for men is in the mid teens (16% or so). Average body fat for women is in the 20-25% range. Good body fat for men is 10-12%, and single digits is extremely lean. Men shouldn't expect to look "ripped" with 100% tight skin on the abs unless they have single digit body fat. Women shouldn't expect to have tight abdominal skin unless they are in the low to mid teens in body fat. Except in extreme cases, you are actually unlikely to see someone with loose skin who has very low body fat and especially someone who has not just "lost weight" but has altered body composition by adding lean muscle as well. It's quite remarkable how much your skin can tighten up once your body fat goes from "average" to "excellent" and even more so when lean body mass increases. Someone with legitimate single digit body fat and a ton of loose skin is a rare sight.

    So the key to getting tighter skin is to improve your body composition (muscle to fat ratio), and lose more body fat, slowly and sensibly, up to the point where your body composition rating is better than average (in the "good" to "great" category, not just "okay"). Only after you reach your long term body fat percentage goal should you give thought to "excess skin removal." At that point, admittedly, there are bound to be a few isolated cases where surgery is necessary if you can't live with the amount of loose skin remaining.





    About The Author Tom Venuto is a natural bodybuilder, an NSCA-certified personal trainer, certified strength & conditioning specialist (CSCS), and author of the #1 best selling diet e-book in Internet history, "Burn The Fat, Feed The Muscle.” Tom has written hundreds of articles and been featured in IRONMAN, Natural Bodybuilding, Muscular Development, Exercise for Men and Men’s Exercise. For info on Tom's e-book, visit the home page at: www.BurnTheFat.com To get Tom’s FREE fat burning tips newsletter, and the famous 12-part mini-course, BIG FAT LIES, visit: www.BurnTheFat.com/freereport.html
    Taking My life back one day at a time...
    F/33/5'7/SD 11/26/07/SW 258
    restart date: 3/8/08
    Mini Goals:
    240: *01/09/08*
    225:
    215:
    205:
    195: Onederland!!!
    185:
    175:
    165:
    Aug Goal! 155
    "Just when the caterpillar thought the world was over, it became a butterfly"








  • #2
    Re: loose skin...

    Interesting article.

    He doesnt mention dry brushing which a lot of people reckon helps taughten the skin as well as having other benefits.
    Wondering how to get 'most' of your net carbs from your induction veggies?
    Take a look at the thread from the latest Veggie Challenge to see how others manage it!



    Check out our Low Carb Recipes website and add to it!!





    F/60 yrs/5ft 5.5" (Though due to collapsing vertebrae I am now only 5'3" - but I refuse to recalculate my BMI )

    Comment


    • #3
      Re: loose skin...

      Originally posted by Elizellen
      Interesting article.

      He doesnt mention dry brushing which a lot of people reckon helps taughten the skin as well as having other benefits.
      He does--under skin creams...

      9. Creams probably don't work. There are many creams advertised as having the ability to restore the tightness of your skin. the late bodybuilding guru Dan duchaine used to recommend topical creams made with pycnogenol, which contain the antioxidant bioflavanoids called proanthocyanidins. But to the best of my knowledge, none of the topical creams are scientifically validated. I haven't even heard much anecdotal evidence that they work -- at least not permanently and measurably -- and especially if you have a lot of loose skin. There are definitely some topicals that will pull water from under your skin, but remeber, that is temporary. Buyer should beware with topical products. (as an aside, Ive also heard anectodal reports that skin brushing was helpful, but again, I am not aware of any scientific evidence proving this is effective).
      This is very important and I am taking heart in this fact from when a sister-in-law lost a lot of weight, very quickly, after a heart attack.

      13. Give your skin time. Your skin will definitely get tighter as your body fat gets lower. I've seen and heard of many cases where the skin gradually tightened up, at least partially, after a one or two year period where the weight loss was maintained and exercise continued.

      She was in her mid-60's when she had the heart attack and was put on a very low calorie/low fat diet. She lost over 100 pounds in a few months, to really way too thin (198 to 106). She had always looked older than her age, but I was shocked when I saw her about a year after the heart attack, just how old she looked. She was sitting beside my well-preserved 90-something uncle, and my thoughts were that she looked at least 10 years older than him. She looked every bit of 100 years old that day from how the wrinkled skin hung off her face and neck. After about two years, her skin tightened up enough that she now looks her age again. This gives me hope that if I am patient, my skin will tighten up again after I have the weight off for a while, and I am able to exercise once again.

      Sunny!
      People who say it can't be done, should not interrupt those doing it.


      "Some men give up their designs when they have almost reached the goal; While others, on the contrary, obtain a victory by exerting, at the last moment, more vigorous efforts than ever before."
      ~~Herodotus


      Doin' the "Real Deal" Atkins 2002 since 9/15/2005
      Sunny's Secrets: My Journal



      Comment


      • #4
        Re: loose skin...

        I look for hope in things like that too. I worry that I am going to have a bunch of saggy skin. that's one of the reasons I like swimming, there is something in my mind that tells me it will help my skin snap back. I don't know if there is any truth to it but I am going to stick with it.



        41yo | F | 5'3" | HW: 250+ | CW: 188.4 | GW: 135

        1st Mini Goal Under 200: Met 2/29/08
        2nd Mini Goal Under 190: Met 5/5/08
        3rd Mini Goal 180: | 4th Mini Goal 170: | 4th Mini Goal 160: | 6th Mini Goal 150:

        I have a goal to be 150 by my birthday

        Comment


        • #5
          Re: loose skin...

          Originally posted by Porcelain
          I look for hope in things like that too. I worry that I am going to have a bunch of saggy skin. that's one of the reasons I like swimming, there is something in my mind that tells me it will help my skin snap back. I don't know if there is any truth to it but I am going to stick with it.

          I think swimming is a very good way to keep your skin firm and tone your whole body, but only if you shower off well afterwards and apply a lot of moisturizer. The reason that the skin puckers up after a long time in water is because the water has been pulled out of it. The chemicals in pool water are really hard on skin, so do a really good shower to remove them.

          Sunny!
          People who say it can't be done, should not interrupt those doing it.


          "Some men give up their designs when they have almost reached the goal; While others, on the contrary, obtain a victory by exerting, at the last moment, more vigorous efforts than ever before."
          ~~Herodotus


          Doin' the "Real Deal" Atkins 2002 since 9/15/2005
          Sunny's Secrets: My Journal



          Comment


          • #6
            Re: loose skin...

            Originally posted by SunnySmile501

            I think swimming is a very good way to keep your skin firm and tone your whole body, but only if you shower off well afterwards and apply a lot of moisturizer. The reason that the skin puckers up after a long time in water is because the water has been pulled out of it. The chemicals in pool water are really hard on skin, so do a really good shower to remove them.

            Sunny!
            I rinse off directly then I take a shower when I get in the locker room. I put on cocoa butter cream after that. I have always used cocoa butter cream becuase it is so thick and retains your moisture. Plus, after I am through and in the car, I sit there and drink at least a 1/2 liter of water to give some back to my skin and body. I can remember my mother in law when she was my age and she lost a lot of weight, her face and her neck sagged a lot. I don't want that. Two differences though, she never protected her skin from the sun and she didn't exercise.

            Also, one of the reasons I chose this gym is because it has a salt water pool so they don't have to use as many chemicals as regular water. I need to find a preswim conditioner for my hair, though. My ends are getting a bit scraggly.



            41yo | F | 5'3" | HW: 250+ | CW: 188.4 | GW: 135

            1st Mini Goal Under 200: Met 2/29/08
            2nd Mini Goal Under 190: Met 5/5/08
            3rd Mini Goal 180: | 4th Mini Goal 170: | 4th Mini Goal 160: | 6th Mini Goal 150:

            I have a goal to be 150 by my birthday

            Comment


            • #7
              Re: loose skin...

              Originally posted by SunnySmile501
              He does--under skin creams...

              This gives me hope that if I am patient, my skin will tighten up again after I have the weight off for a while, and I am able to exercise once again.

              Sunny!
              Thank you Sunny for sharing.... It gives me hope too.
              Taking My life back one day at a time...
              F/33/5'7/SD 11/26/07/SW 258
              restart date: 3/8/08
              Mini Goals:
              240: *01/09/08*
              225:
              215:
              205:
              195: Onederland!!!
              185:
              175:
              165:
              Aug Goal! 155
              "Just when the caterpillar thought the world was over, it became a butterfly"







              Comment


              • #8
                Re: loose skin...

                Thank you so much for that article. Suddenly losing at a slow OWL pace isn't so scary! Also this really reinforces the importance of exercise. I have read similar before but this is the first that sounded logical and reasonable.

                My Low Carb Blog and Podcast
                My YouTube Channel
                _________________________________________

                Comment


                • #9
                  Re: loose skin...

                  Your welcome quotidianlight... I found it useful.
                  Taking My life back one day at a time...
                  F/33/5'7/SD 11/26/07/SW 258
                  restart date: 3/8/08
                  Mini Goals:
                  240: *01/09/08*
                  225:
                  215:
                  205:
                  195: Onederland!!!
                  185:
                  175:
                  165:
                  Aug Goal! 155
                  "Just when the caterpillar thought the world was over, it became a butterfly"







                  Comment


                  • #10
                    Re: loose skin...

                    Hey jlyn!!

                    Good to "see" you here and glad you are doing so well. I too worry about the loose skin issue but it sounds like our WOE, water intake and regular exercise are all GOOD things for helping the skin get back to normal as the weight does. I am really trying to do a lot of bicep/tricep exercise with weights to avoid the dreaded batwings

                    Pam
                    When you get to the end of your rope tie a knot in it and hang on!

                    F/51 years/5'6"
                    Start Date 12/01/2007 Restart Date 01/04/2010
                    SW 220 RSW 212 LW 180 GW145

                    SMOKE FREE SINCE 09/16/2009
                    N.O.P.E. Not One Puff EVER!!!

















                    Comment


                    • #11
                      Re: loose skin...

                      Re : Dry Brushing
                      Originally posted by SunnySmile501
                      He does--under skin creams...
                      Oops That's another time I havent read things closely before commenting on them

                      I am surprised he discounts it so lightly as I have seen many posts here and elsewhere saying it was effective. Maybe he sees it as a 'girly' thing so not worth bothering with (shrug)
                      Wondering how to get 'most' of your net carbs from your induction veggies?
                      Take a look at the thread from the latest Veggie Challenge to see how others manage it!



                      Check out our Low Carb Recipes website and add to it!!





                      F/60 yrs/5ft 5.5" (Though due to collapsing vertebrae I am now only 5'3" - but I refuse to recalculate my BMI )

                      Comment


                      • #12
                        Re: loose skin...

                        Originally posted by Elizellen
                        Re : Dry BrushingOops That's another time I havent read things closely before commenting on them

                        I am surprised he discounts it so lightly as I have seen many posts here and elsewhere saying it was effective. Maybe he sees it as a 'girly' thing so not worth bothering with (shrug)
                        Elizellen, I did not view any part of the article as sexist. To me the article was informative.
                        Taking My life back one day at a time...
                        F/33/5'7/SD 11/26/07/SW 258
                        restart date: 3/8/08
                        Mini Goals:
                        240: *01/09/08*
                        225:
                        215:
                        205:
                        195: Onederland!!!
                        185:
                        175:
                        165:
                        Aug Goal! 155
                        "Just when the caterpillar thought the world was over, it became a butterfly"







                        Comment


                        • #13
                          Re: loose skin...

                          You are right - the main tenor wasnt at all sexist - I suppose I was just wondering aloud as to why no-one has done studies on it, and thinking that most of the people I have seen recommending it on support boards have been women.
                          Wondering how to get 'most' of your net carbs from your induction veggies?
                          Take a look at the thread from the latest Veggie Challenge to see how others manage it!



                          Check out our Low Carb Recipes website and add to it!!





                          F/60 yrs/5ft 5.5" (Though due to collapsing vertebrae I am now only 5'3" - but I refuse to recalculate my BMI )

                          Comment

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