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You're listening to where before meets after. When someone loses
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a lot of weight, is there something happening in the
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body other than us getting smaller. That's a very complex question.
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There's obviously tons of health benefits from weight loss, whether
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it be through your cardiovascular system, your skeletal system, your joints,
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your organs, your kidneys. The list of benefits from weight
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loss goes on and on. I think since we're talking
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about loose skin, there's also a lot of changes going
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on to the quality of your skin. Not only do
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you lose volume, meaning from fat loss, but this can
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also manifest with loose skin, and the type and quality
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of your skin can significantly change. Is quite common for
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us to see this. So what happens to the skin
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with weight loss, whether it be ten pounds or two
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hundred ten pounds, you can lose that elasticity to the skin.
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What that means is that you're losing the tone and
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the tightness of the skin. Some people see this with
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stretch marks, see with severe laxity. They lose that recoil,
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the tightness of that tissue. So, in addition to just
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removing skin, Board certify plastic surgeons who are experienced with
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body conjuring after weight loss or facial contouring after weight loss.
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They have to also consider the quality of your skin
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has changed, and that's a really important part of a
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treatment plan to manage loose skin after any weight loss.
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Is your skin quality affected by your age? Like do
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younger people have an easier time snapping back? It varies
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from patient to patient. I think a lot of this
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has to do with nutrition. Patients and nutritional states vary.
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Some patients are taking a lot more protein, They're doing
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a lot more muscle building or resistance training to maintain
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muscle mass as they lose weight. If you're nutritionally optimized,
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you're physically fit and active, and you're maintaining your muscle
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mass while you're losing weight. I do think the elasticity
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is a little bit better, but a lot of this
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has to do with genetic factors. And you can do
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everything you want need to do nutrition working out, which
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is great, but if you have the genetic factors that
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are going to lead to poor elasticity, meaning poor tissue quality,
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then there's really not much you can do with re
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loose skin. I also want to set patient's expectations correctly,
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so even in my hands with all the experience. When
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I'm doing circumferential body lift, I have patients who've lost
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one hundred and fifty pounds, and some patients I can
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get them looking like they have a contoured six pack
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abdomen where they look like a fitness model influencer, right
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with other patients the same amount of weight, different tissue quality.
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I'll do the same procedure, same techniques. I'll do some
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soft ab etching, but they will get some relaxation of
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that skin. What does that mean? It means they get
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some looseness right now. It's not going back to what
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they had before, not even close, especially when you're removing five,
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ten twenty pounds of loose skin on a body lift. However,
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they can potentially get some relaxation of the skin. Because
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remember we talked about the tissue quality, right, all of
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us are working with the tissue that you have. We
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cannot change the intrins equality of the tissue. Now, there's
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some technologies that we have, such as radio frequencies that
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can help build collagen, but ultimately there's some inherent limitations.
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So why does some of my weight loss patients get
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incredibly fitness model results, and I'm doing the same procedure
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on other patients. They're getting a huge improvement, but it's
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not as toned because it has to do with the
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variability of your tissue quality. So that's one of the
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limitations that all surgeons have. We can only work with
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the tissue that you have. We really cannot change your tissue,
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and that's an inherent limitation of what we could do
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today in plastic surgery. Thanks for listening. I'm your host, Ivasha.
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Follow the show and submit questions for our experts at
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Wherebefore meets After dot com. Where Before meets After is
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