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home | FREE Preview | Help! Ive Turned Into A Bloody Shar- . . .
 





"Help! I've Turned Into A Bloody Shar-Pei"... How To Get Rid Of Loose Skin After Weight Loss

By Tom Venuto

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 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."

There are 14 things you should know about loose skin after very large weight losses:

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 weight loss, like 150-200 lbs, 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 (the heavier you are the more weight you can safely lose at first). But 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 remember, that is temporary. Buyer should beware with topical products. (as an aside, Ive also heard anecdotal 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 and take your time deciding 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 probably be left as the 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 for the cases of extreme weight loss I mentioned before, 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 increase. 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.

However, unless you are really, really lean, it's difficult to get a clear picture of what is loose skin, what is just remaining body fat and how much further the skin will tighten up when the rest of the fat is lost.

Let me wrap up by giving you a motivating and inspiring example...

In the before picture below, Brian weighs 296 pounds and has over 40% body fat. In the after picture, Brian weighs 185 pounds and - this is important - his body fat is about 6%. He was hydrostatically tested, so the body fat reading is about as accurate as it could get.

<center><a href="http://www.burnthefatinnercircle.com/members/forum/openthread.cfm?forum=22&ThreadID=1535">Click Here to discuss this in the forum!</a></center>

How did he do it?

Brian recently told me, "In my opinion, visible abs require three things: 1. Single digit body fat, 2. Sufficient abdominal hypertrophy, 3. Skin tight enough to reveal the contours.

Brian used the Burn the Fat, Feed the Muscle system of eating to strip off the fat, he did cardio, lifted weights, trained his abs hard and after the fat was off, he continued his journey by pursuing several phases of muscle-building training and nutrition (he was actually down around 170 lbs and packed on a rock solid 15 pounds of muscle so far... while keeping the abs in view!)

You may not get the same results and you may not be able to get your abdominal skin as tight as Brian's, but this is proof positive that IT IS entirely possible to get tight skin with six pack abs, even after a 100+ pound weight loss.

If you want to learn more about the Burn the Fat, Feed the Muscle system Brian used to help him get so lean, be sure to watch my fat loss presentation on the home page here: BurnTheFat.com or just hop straight to the order page here: BurnTheFat.com/order

- Tom Venuto

Visit the 100 pound club forum in the members area and ask our moderators and success stories what they think about this issue. Those who have lost more than 100 pounds themselves may be able to offer some keen personal insights on this issue. Just another benefit of Inner Circle membership...





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