Can you get rid of loose skin after major weight loss?

When you work to lose a bunch of weight, you dream of a tighter, toned body. You don’t picture extra, loose skin. But that’s a real possibility, and one that can cause health problems and a poor self-image.

“It’s frustrating to patients who have put all this hard work and commitment into their weight loss journey and new bodies to be left with extra skin that doesn’t reflect that effort,” says Jason B. Lichten, MD, a plastic surgeon in Columbus, OH. “Often, they feel that their extra skin hangs on them the same way their old clothes from before their weight loss would, only they can’t take it off.”

It’s not just about your looks though. It can cause rashes, infections, and back pain. Plus it can stop you from being as active as you want.

Why Skin Doesn’t Snap Back

The elasticity of your skin depends on how long you were obese. It doesn’t matter if you dropped pounds quickly or slowly. The longer it was stretched out, the less likely it is to bounce back.

“It’s like a balloon,” says Marie Jhin, MD, a dermatologist in San Francisco. “When you first blow up a balloon, it’s really small and tight.” You have to stretch it first, she says. But when it’s deflated, it doesn’t return to its original shape.

A lot of it has to do with age and genetics, too, she says. “Everyone starts to lose [elastic tissue] as they get older.”

Bothers and Burdens

Saggy skin can not only be an embarrassment, it can lead to rashes and yeast infections in the folds.

“Perspiration gets trapped, and you can get a rash,” Jhin says. “I recommend powder or cornstarch. It will help absorb [the moisture].” Some people, she says, even put a little fabric underneath.

While compression garments can help, loose skin can also make getting in shape tricky. “Imagine strapping 30 to 40 pounds to the front of you,” says Jennifer Capla, MD, a plastic surgeon in New York City. “It changes your center of gravity. It’s harder to move.”

No Easy Fix

Building muscle will help plump your skin some, Capla says, but there’s “no magic cream” or drug that will push and pull it back into place.

“It’s something that has to be dealt with surgically,” she says.

But only 20% of weight loss surgery patients get body contouring, says John Morton, MD, president of the American Society for Metabolic and Bariatric Surgery.

A big reason for that is the expense. A total body lift can cost $30,000 . Health insurance might pay for a tummy tuck because stomach folds can often get infected, but it won’t pay for most other body parts. Companies claim those surgeries are for cosmetic reasons and not reconstructive.

“The most common areas we treat, in order, are belly, backside, breasts, thighs, arms, male chest, and face,” Lichten says.

A surgeon will only remove extra skin if you keep the weight off for 6 months. And they’ll only work on one or two areas at a time. That cuts down on the risk of complications, says Claude-Jean Langevin, MD, DMD, a plastic and reconstructive surgeon at the Cedars-Sinai Plastic and Reconstructive Surgery Center in Los Angeles. Plus, it won’t hurt as much to move during recovery.

Surgery does leave scars, but they can usually be covered with clothes. No one has ever said the scar wasn’t worth going under the knife, Capla says.

Body-Image Issues

Then again, not everyone wants the surgery. Susan Hawkins, 67, of Atlanta, lost 150 pounds after gastric sleeve surgery. She doesn’t love the sags left behind, but accepts them.

“My clothes do a remarkable job of hiding the aftermath,” Hawkins says. “[I’d] take the excess skin any day [to being obese]. For me, it’s my badge of honor.”

Others have trouble accepting their new look.

“Many view excess skin as a reminder of their old life and associations with emotional issues that they were struggling with when they were at a higher weight, such as anxiety, depression, loneliness, and low self-esteem,” says Alexis Conason, PsyD, a psychologist in New York City.

It’s healthy to embrace your new body, skin and all. Tanisha Shaneé, 30, of Brooklyn, NY, did just that. She lost more than 140 pounds with diet and exercise.

“There are challenges for one to accept with this journey,” she says. “I had to relearn how to love my body and accept the new, healthier one.”

Show Sources


Jennifer Capla, MD, plastic surgeon, New York.

Alexis Conason, PsyD, psychologist, New York.

Marie Jhin, MD, FAAD, dermatologist, Premier Dermatology, San Francisco.

Claude-Jean Langevin, MD, DMD, plastic and reconstructive surgeon, Cedars-Sinai Plastic and Reconstructive Surgery Center; clinical assistant professor in plastic surgery, University of Southern California Keck School of Medicine; adjunct staff member, Cleveland Clinic.

Jason B. Lichten, MD, plastic surgeon; founder and director, Central Ohio Plastic Surgery, Columbus.

John Morton, MD, president, American Society for Metabolic and Bariatric Surgery; chief of bariatric and minimally invasive surgery, Stanford University School of Medicine.

Can you naturally get rid of loose skin after weight loss?

Regular exercise, including cardio and strength training, will help you maintain your weight and tone your body. It also may help your skin look tighter. Talk to your doctor if you're concerned about extra skin.

Can you avoid loose skin after heavy weight loss?

To reduce your skin's saggy appearance, you can fill up the space by building muscles. Exercises such as facial exercises, weight lifting, and resistance training will increase your muscle mass and make your skin tighter. Even if you exercise for only half an hour a day, you can build muscle and have tighter skin.

How do you get rid of extra skin after weight loss?

Best Natural Remedies to Minimize Excess Skin.
Strength and Resistance Training. ... .
Take Hydrolyzed Collagen. ... .
Stay Hydrated and Eat Certain Nutrients. ... .
Don't Smoke, Stay out of the Sun, and Use a Rich Moisturizer. ... .
The Bottom Line. ... .
Body Contouring..

Will I have loose skin after losing 50 pounds?

Will Losing 50 Pounds Cause Loose Skin? If you drop large amounts of weight, especially from quick reductions in belly fat, it is possible you will have some extra skin left behind. Prolonged periods of obesity can stretch your skin, eventually damaging the collagen and elastin that help keep your skin tight.