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Weight loss and loose skin ?

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How old are you? If you're young and you have good genetics on skin there's a chance it will shrink, not all but a portion of it. Good hydration, collagen supplements, Vitamin E etc might help a little but honestly there's not much to do.

I've been yoyoing my bodyweight up n down for years, currently i've lost 45kg and the excess skin is A LOT. It's mostly on low abs and chest but overall i can see it and feel it in my thighs, back, everywhere.
 
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Weight cycling is the worst for skin elasticity.

There will be some snapback, but after one year, don't expect further improvement.

I found my skin elasticity improved significantly while on a high dose 6 month course of isotretinoin. Unsurprising as low doses are used for that purpose, to lessen wrinkles, and produce measurable improvements in collagen.

Large areas of sagging skin can only be dealt with by surgery.

Pro Tip:

Insurance will not cover cosmetic procedures. However, for many plans, if your doctor can document a 50lb or greater loss, and you complain that the loose skin painfully irritates you (by rubbing, getting caught on clothes, etc) or is difficult to keep clean, that's a functional problem and they will cover skin reduction. surgery.
 
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Maybe if your young and this is the only time you've gained and lost weight you'll have some tighten up. There's all kinds of stuff to waste your money on. In my skin, literally, it just didn't tighten up. I am older and lost more weight than you so maybe there's hope.
 
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Hardcoreboy said:
I have lost 16kg in 3 months with tirz and now I notice loose skin, especially on the lower abdomen. Is there anything other than surgery to help tighten the skin?
All tips are welcome !
Click to expand...
Way too fast man unless you're in your 20's and your skin can actually handle that. I'd slow it down.

The answer though, aside from the obvious which is staying super hydrated and getting in optimal protein, and when you're skin focussed, collagen, supplementing copper can help, 2x daily moisturizing with a tightening moisturizer, dermarolling / microneedling, and look into GHK-Cu, when it comes to skin, it's arguably better than HGH.
 
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Ghoul said:
Weight cycling is the worst for skin elasticity.

There will be some snapback, but after one year, don't expect further improvement.

I found my skin elasticity improved significantly while on a high dose 6 month course of isotretinoin. Unsurprising as low doses are used for that purpose, to lessen wrinkles, and produce measurable improvements in collagen.

Large areas of sagging skin can only be dealt with by surgery.

Pro Tip:

Insurance will not cover cosmetic procedures. However, for many plans, if your doctor can document a 50lb or greater loss, and you complain that the loose skin painfully irritates you (by rubbing, getting caught on clothes, etc) or is difficult to keep clean, that's a functional problem and they will cover skin reduction. surgery.
Click to expand...

Dunno... anecdotally, ive done 60lb+ swings 3 times in my life. Basically once a decade into adulthood. Aside from my slightly saggy old butt (which actually seems to be getting better), skin around belly, arms and other areas always went back to normal and mind you I had a large mid section.

My wife hates me... so does my sister. Both struggle with skin and here I am with my devil may care about fucking skin attitude because manly men dont care amright? But as I have gone through this 3x now, I postulated that maybe stretching and shrinking every now and then helps keep skin more pliable?

Wishful thinking im sure but I am almost 50 and with baby-like skin according to my wife. Well everywhere but my face where I shave with an old dull machete...
 
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thejumpingsheep said:
Dunno... anecdotally, ive done 60lb+ swings 3 times in my life. Basically once a decade into adulthood. Aside from my slightly saggy old butt (which actually seems to be getting better), skin around belly, arms and other areas always went back to normal and mind you I had a large mid section.

My wife hates me... so does my sister. Both struggle with skin and here I am with my devil may care about fucking skin attitude because manly men dont care amright? But as I have gone through this 3x now, I postulated that maybe stretching and shrinking every now and then helps keep skin more pliable?

Wishful thinking im sure but I am almost 50 and with baby-like skin according to my wife. Well everywhere but my face where I shave with an old dull machete...
Click to expand...

No, stretching skin out does not help elasticity. Generally it keeps bouncing back until it suddenly doesn't,

However, this could be the reason yours has been more durable than others:

Resistance training rejuvenates aging skin by reducing circulating inflammatory factors and enhancing dermal extracellular matrices - PMC

Aerobic training (AT) is suggested to be an effective anti-aging strategy for skin aging. However, the respective effects of resistance training (RT) have not been studied. Therefore, we compared the effects of AT and RT on skin aging in a 16-week ...
pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov
 
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Ghoul said:
Insurance will not cover cosmetic procedures. However, for many plans, if your doctor can document a 50lb or greater loss, and you complain that the loose skin painfully irritates you (by rubbing, getting caught on clothes, etc) or is difficult to keep clean, that's a functional problem and they will cover skin reduction. surgery.
Click to expand...
My buddy used "it is psychologically causing issues" and his insurance covered the surgery.
 
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I'm in need of an abdominoplasty. Checked my coverage and they do indeed cover functional issues. The pre-auth has some specific requirements with regard to the amount of weight lost and whether or not the skin reaches the pubis bone or some such which I can pull off if I slouch and exhale deeply.

I contacted one of the more well-regarded local surgeons. Asked his staff to help me with the pre-auth. They said they don't deal with insurance. I explained that I would be paying cash and did not expect them to file a claim on my behalf, but that I simply needed them to fill out the pre-auth.

Nope. Then they began hassling me for a date to schedule the procedure. I explained that in spite of all the good reviews and such, using them would cost me $15-20k more than it would otherwise if they spent 10 minutes completing some paperwork. "Yes, and?"

That trip to Thailand is sounding pretty appealing.
 
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I lost a lot of weight too and had loose skin around my neck and jawline that really bugged me. Surgery felt like too much, so I looked into non-invasive stuff. I ended up trying the Best Botox treatment in all of Miami! It actually helped tighten things up more than I expected. It's not a total fix for loose skin everywhere, but for small areas it made a visible difference.
 
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egruberman said:
I'm in need of an abdominoplasty. Checked my coverage and they do indeed cover functional issues. The pre-auth has some specific requirements with regard to the amount of weight lost and whether or not the skin reaches the pubis bone or some such which I can pull off if I slouch and exhale deeply.

I contacted one of the more well-regarded local surgeons. Asked his staff to help me with the pre-auth. They said they don't deal with insurance. I explained that I would be paying cash and did not expect them to file a claim on my behalf, but that I simply needed them to fill out the pre-auth.

Nope. Then they began hassling me for a date to schedule the procedure. I explained that in spite of all the good reviews and such, using them would cost me $15-20k more than it would otherwise if they spent 10 minutes completing some paperwork. "Yes, and?"

That trip to Thailand is sounding pretty appealing.
Click to expand...

Thailand is a great option.

It's true that top notch plastic surgeons don't need to bother with insurance to drum up business, and often are small operations, so having dedicated employees doing that work is an unneeded expense.

If you decide to pursue it in the US, find a surgeon who'll work with insurance. They'll likely be less than ideal. One that's part of a hospital rather than an elite, independent plastic surgeon. This will give them access to the hospital's well staffed, full time, formidable preauthorization department. Go to the appointments, let them get the preauth.

Then switch to the "good" independent plastic surgeon, with preauthorization in hand, so you can get the best possible result and still have the expense at least partially covered.
 
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Ghoul said:
Thailand is a great option.

It's true that top notch plastic surgeons don't need to bother with insurance to drum up business, and often are small operations, so having dedicated employees doing that work is an unneeded expense.

If you decide to pursue it in the US, find a surgeon who'll work with insurance. They'll likely be less than ideal. One that's part of a hospital rather than an elite, independent plastic surgeon. This will give them access to the hospital's well staffed, full time, formidable preauthorization department. Go to the appointments, let them get the preauth.

Then switch to the "good" independent plastic surgeon, with preauthorization in hand, so you can get the best possible result and still have the expense at least partially covered.
Click to expand...
Honestly that is not as easy as it sounds because most authorizations are issued to the rendering provider and servicing facility that was requested. So it depends if the health plan will let you switch or open a new auth which may or may not require another medical necessity review.
And of course depends if the new surgeon is in network or out of network, if the facility is in network, or the same place of service (ambulatory surgery center vs outpatient hospital) etc


But anyway, like was mentioned above the skin fold hanging below the pubis, and other things like recurrent pannicitis/skin fold yeast infections are the mostly likely to allow insurance coverage
 
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TexBe said:
Honestly that is not as easy as it sounds because most authorizations are issued to the rendering provider and servicing facility that was requested. So it depends if the health plan will let you switch or open a new auth which may or may not require another medical necessity review.
And of course depends if the new surgeon is in network or out of network, if the facility is in network, or the same place of service (ambulatory surgery center vs outpatient hospital) etc


But anyway, like was mentioned above the skin fold hanging below the pubis, and other things like recurrent pannicitis/skin fold yeast infections are the mostly likely to allow insurance coverage
Click to expand...

In my personal experience, once medical necessity is established, the hard part is overcome. The new surgeon's office will transfer the preauthorization and the amount covered is whatever it is based on the factors you mentioned, but medical review doesn't need to be redone unless it's longer than 6 months from the original approval. Of course you pay any difference out of pocket, still better than paying all of it. (always worth asking if they'll accept the insurance covered amount as payment in full, which has worked for me).

I'm sure every company handles things a bit differently, but that's how UHC does it, and it's the largest health insurer in the US.

Bottom line is, imo, choose the best surgeon first, then figure out how to pay for it.
 
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Hardcoreboy said:
I have lost 16kg in 3 months with tirz and now I notice loose skin, especially on the lower abdomen. Is there anything other than surgery to help tighten the skin?
All tips are welcome !
Click to expand...

I have lost about 7 kg in 6 months with tirz and have loose skin, too.
It has improved considerably in the last few weeks, but the skin is hanging on my bottom.
I am male, 50 years old.
 
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