There are  things you should know about loose skin after very large weight losses:
  •  Skin is incredibly elastic
  • 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
  • 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.

Anthony lost 25kgs following fred’s detailed nutrition advice and still has good skin elasticity

  • 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 kilo’s per week, 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)
  • Creams probably don’t work. There are many creams advertised as having the ability to restore the tightness of your skin
  • 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
  • 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
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.
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