Should excess skin be removed after weight loss?

I just lost 45 kg, now my skin is loose, sagging, and has a lot of excess. Should I cut off the excess skin? Is it dangerous? (Hung, 37 years old, Hanoi )

Reply:

After losing weight, many people have a lot of excess skin. Young people, whose skin is still elastic, will naturally shrink. Many people who lose a large amount of weight, whose skin is not elastic, will not naturally shrink, causing a very obvious sagging phenomenon. These cases require surgical intervention when all criteria for routine general health examination, safe anesthesia, wound healing after surgery are met, and there are no chronic diseases that contraindicate surgery.

In fact, excess skin removal surgery is not a difficult technique, most plastic surgeons can do it. However, this has the potential risk of slow wound healing, not healing, and can leave ugly scars after surgery.

Almost all excess skin on the body can be removed. In some areas of the joint, the surgeon will consider the surgical line and the amount of skin removed to avoid cutting too much, causing scarring and restricting joint movement.

In general, after losing weight, you will be left with a lot of excess skin, so you need to see a plastic surgeon for advice on removing the excess skin. In cases where the amount of excess skin is large, the doctor will calculate the shortest and most appropriate incision location, ensuring the best wound healing, then combine scar treatment methods to reduce the scar line, the fastest scar healing process, such as pressure bandages, anti-scar drugs, surgical suturing techniques to reduce the length of the scar.

To limit excess fat after losing weight, you need to lose weight slowly, and during the process, you should exercise continuously to burn fat naturally. You should combine wearing shapewear and shapewear to help burn excess fat.

Cosmetic surgeon Tong Hai
Head of the Department of Microsurgery and Reconstructive Surgery, Center for Plastic Surgery and Reconstructive Surgery
National Burn Hospital

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