BonnieJo

Success after weight loss surgery is no accident. It is the result of a lot of hard work and careful planning on your part. While of course it depends on a skillful surgeon, your post-op success depends most heavily on you.
You can begin to set yourself up for satisfying weight loss and preventing regain long before your surgery date. Here are some ideas for building that solid foundation that will make your weight loss surgery journey smoother and more satisfying.


Choose the right surgeon.
If weight loss surgery is the tool, your bariatric surgeon is the one who makes the tool and gives it to you. You want a tool that is made precisely, ready to do the job, and built to last. Your surgeon needs to make the right cuts and place the band properly or make a tight, solid sleeve or pouch. So, look for a surgeon who is experienced and has a good track record of successful patients and low complication rates – don’t be afraid to ask!
There’s more to choosing a surgeon than technical skills. Also, consider what else the surgeon will do for you. The right surgeon for you is willing to discuss your options and the procedure with you in a way that you can understand. You’re setting yourself up for extra challenges if you’re afraid to talk to your surgeon or your surgeon is unavailable.
Get the scoop on the diet.
Your diet is central to every part of the weight loss surgery journey. You may be told to lose some weight before surgery as a test to make sure you’ll follow the rules post-op. Then there’s the pre-op liquid diet to shrink your liver for a safer surgery. Next, for faster healing and fewer side effects, you need to follow the post-op progression from liquids to pureed foods to solid foods. Finally, there’s the nutrient-dense, low-calorie diet to help you hit goal weight and stay there.
At best, you will have a surgeon or a nutritionist who gives you plenty of information. Since that’s not always the case, you may need to take steps to figure out the diet for yourself. You can look online, and may need to shell out the money for a few appointments with a nutritionist. Not knowing the right foods to eat can set you up for surgery complications and disappointing weight loss.
Take responsibility.
It’s nice to depend on a stellar surgeon and complete healthcare team to walk you through surgery and beyond step by step. Ideally, your trusted surgeon would explain your options to you and recommend the best surgery for you, whether it’s the sleeve, band, bypass, or another choice. You’d go back for follow-up appointments and ongoing nutritional and psychological counseling.
That doesn’t always happen in the real world, but that’s no excuse to give up. You can take responsibility for finding out the information you need to know about what to expect, how to prepare, and what comes next. Be persistent and do your research in all kinds of places, and you’re more likely to succeed.
Face the facts.
Weight loss surgery isn’t all fun and games. You don’t leave the operating room skinny. Weight loss isn’t steady. It may take you longer to get to goal weight than you hoped. Recognize the real possibilities to avoid being disappointed and possibly even giving up.
These are some other possibilities to consider, so you can be prepared if they happen to you.
You may still love sugar, salt, fat, and/or starch.
You may still be hungry.
Others may not notice your weight loss, or may not be impressed.
Others may be jealous of your weight loss or say you didn’t earn it.
You may have loose skin when you are finished losing weight.
Weight loss surgery doesn’t solve psychological problems.

Be Open-Minded
If you want to lose weight and get healthy, you’ve got to change your diet. Whatever eating habits got you to this point are not going to get you to goal weight!
That may mean you need to be open-minded. Maybe you hated vegetables, or can’t stand the thought of downing protein shakes for 2 weeks on the pre-op liquid diet and up to 4 weeks on the post-op liquid and mushies diets.
It’s time to re-evaluate. Can you sneak some veggies into your diet? Can you retrain your brain to love them? Can you force down those protein shakes for a few weeks in exchange for a lifetime’s worth of better health?
Learn to see the good.
There will be disappointments - guaranteed. The scale may not cooperate, or you may make a poor eating choice, or you might skip your morning workout because you didn’t make sleep a priority the night before. Focus on the negative, and you just may talk yourself out of continuing the hard work and good progress.
Instead, learn to appreciate yourself and see the positive sides of things. Maybe you didn’t lose weight this week, but did you eat right? Maybe you downed a piece of pepperoni pizza without thinking about it, but did you pass up the breadsticks and soda that you would have had before surgery? Maybe you didn’t work out this morning, but did you make it to the gym more this month than you did last month?
See yourself as a strong, powerful person, and you will act like one. You can build on the positive behaviors you see in yourself so they eventually overshadow the mistakes.
You have control over your own destiny. Success with weight loss surgery depends on planning and hard work. The more you are involved and the more responsibility you take throughout the process, the better you can do.

I hated Phentermine. It made me feel jittery and nervous, like I had come to work "high" on something. Also, it worked for most of the day, but the appetite suppressant effect would wear off by evening, and then I would eat like a crazy person.

it's speed. You will be jittery, unable to sleep well, you won't be hungry but you will have heart flutters and/or racing heartbeat. Yes, you'll lose weight but it's not worth it IMHO.

In 2001, Yvonne McCarthy from Dallas, Texas, decided to get healthy. She hit the ground running and never looked back as she committed to weight loss surgery and learned to manage her food addiction. Her Open Roux-en-Y gastric bypass surgery 13 years ago helped Yvonne lose half of her body weight and keep it off for over a decade.


Yvonne has used her weight loss surgery experience to help others. She spends over 80 hours a week advocating for bariatric surgery patients as “Bariatric Girl.” She answers emails and posts on Facebook and from her blog to advocate for weight loss surgery and support people who are fighting obesity just like she did. That’s like working two full-time jobs – for free!
Being a great role model and giving back to the weight loss surgery community are what make Yvonne a true weight loss surgery hero. Don’t miss seeing Yvonne’s website or Bariatric Girl Facebook page, You Tube Channel and follow @BariatricGirl on Twitter! She’ll share her experience on bariatric surgery, and you’ll get to learn more about this talented woman’s photography and music!
First, read Yvonne McCarthy’s story and our interview with her here.
Finding Out How Heavy People Get Treated
Yvonne was a strong and athletic girl. That worked out well when it came time to pick teams at school, but her athletic abilities weren’t needed or appreciated elsewhere. Instead, she quickly learned that bigger girls aren’t welcomed. She says, “I figured out pretty young how being different made people treat you badly.” Puberty hit hard, and the dieting started in fourth grade.
Yvonne’s struggles got worse through college and beyond. She nearly turned anorexic during her college years, but “couldn’t keep it up.” After college, she “did every diet known to man” and each time, she gained back all the weight she’d lost plus a few pounds. Her highest recorded weight was 260 pounds.
Didn’t Listen When They Said Not to Have “Unrealistic Expectations”
Yvonne got gastric bypass in 2001. At that time, the bypass was only offered as an open surgery, not as a laparoscopic procedure. She went into surgery with the intention of hitting a “normal” body weight (BMI under 25), and didn’t listen when surgeons warned her not to have “unrealistic expectations.” She followed the prescribed diet and lost 130 pounds in the first 13 months! Yvonne now weighs exactly what she weighed in college over 40 years ago.
Never Going Back to “Prison”
Yvonne says she has a “really healthy memory of 30 years of obesity” and refuses “to return to that prison [that she] couldn’t break out from.” Post-op care wasn’t a standard part of care in 2001, and she didn’t see another post-op until three years later! She just stuck to the diet because she thought she had to, and she hasn’t strayed more than five pounds from her goal weight!
“I assumed that you lost the weight and “IF” you regained that you should fix it while it’s small. When I attended my first weight loss surgery event everyone asked me how I kept it off. I literally didn’t know any better.”
By that time, she’d developed the good habits that she maintains today.
Learning to Manage an Addiction to Food
Some people eat to fill a void. Some eat out of boredom. Others eat for comfort, or to manage stress. Yvonne discovered that she ate to cope with feelings she didn’t want to have. She had a food addiction. She says,
“I was fortunate that I chose to work on my head just as much. I am passionate about the acknowledgement of the existence of food addiction and when I admitted I was an addict, I was able to take steps to work on the root problems that fueled my addiction.
I don’t know how many years ago I started doing this but today I eat very boring things and practically the same food every day. I can no longer have “sex in a plate” so my food has to be just like the fuel you put in your car.”
No More Junk Food
The days of eating junk food are over for Yvonne. She’s not comfortable eating it for fear that she’ll fuel her addiction and regain the weight. “
I can’t eat just one so I quit craving sugar and junk food because I quit eating it completely. I haven’t had cake, pie, cookies, candy etc. in 13 years and I don’t even remember what it tastes like. I feel very strongly that if you wish to lose a craving that you need to quit eating it.
“You wouldn’t give an alcoholic a sip of beer to get past the craving….why do we think that works with food? There are some people that can eat that stuff and maintain and I’m happy for them but I don’t know very many that can.”
The Need to Support Others
Yvonne didn’t just go against the grain by setting, achieving, and maintaining a goal of 130 pounds. She also didn’t know that the “only” way to lose weight and keep it off is to have a strong support system. So, she managed to succeed without the standard support system only because there were none and she was forced to figure out her “head” on her own.
Yvonne turned to the Obesity Help forums and her profile there transitioned into her blog. Over the years, she “saw the exact same patterns over and over and I felt a passion to help warn others of what was coming down the road.”
A Life Dedicated to Helping Others
She felt obligated to help others because her own “unique situation of not seeing another post-op for 3 years in the beginning saved me because if I had seen even one other person regain I would have thought, ‘I’m nobody special and if they can’t keep it off, I can’t either.’”
Bariatric Girl to the Rescue!
Yvonne has done the majority of her advocacy as “Bariatric Girl.” She maintains a website and blog, You Tube channel, and stays active on her Bariatric Girl Facebook page and Twitter. She answers emails and Facebook messages, and even takes phone calls to help others with their struggles and questions. Yvonne now spends over 80 hours a week as a volunteer with the goal of supporting others who are considering weight loss surgery or who are already weight loss surgery patients.
“Since the sun and the moon and the stars lined up for me I felt like I didn’t have the right to not help others by sharing the experiences of the thousands of people I’ve communicated with over the years.”
In addition, Yvonne has spoken at many events and volunteered for many organizations by taking photographs and videos at events. Her other advocacy work includes:
Former faculty with the Weight Loss Surgery Channel.
Host of the channel’s Weight Loss Surgery Journeys, a program that included interviews with recent bariatric surgery patients.
Member of Apollo Endosurgery Patient Executive Council.
Three-year service on the Board of Directors of Weight Loss Surgery Foundation of America, which advocates for bariatric surgery patients and provides grants to deserving patients who can’t afford weight loss surgery on their own.

Every weight loss surgery patient and candidate wants to hear success stories. These stories are sources of hope because they’re about people who used to feel hopeless and out of control, but who found weight loss surgery as a solution. Yvonne was able to use the gastric bypass surgery as a tool to learn to manage her food addiction and turn over a new leaf.
Yvonne is more than just a story, though. She gives her knowledge, love, and support to others who are struggling with their weight and who are weight loss surgery patients. It’s rare to find someone as giving and dedicated as Yvonne is, and everyone whose lives she has touched is grateful.

Is your weight loss history standing between you and your current success after weight loss surgery? If you’re not getting the results you want, there’s a good chance it is. In Part 1 of the series, we brought up the idea of learning from your past, not running from it. Now, we take a look at a few more ways your past might have brought you down, and what you might be able to about it.


Problem: Depending on Others
This one’s not always so obvious, but it may be keeping you from reaching your full potential in weight loss and, frankly, in life. Of course, it’s normal and healthy to depend on others for some things. Maybe you rely on your spouse to pick up the kids from school, and you depend on your parents to parents to take care of your house when you’re on vacation.
But what about the important things? What about your health? Do you take full responsibility for it? Or do you do what you did as a kid – depend on someone to make sure you had the food you needed and expect your parents or the doctor would make you better if you got sick or hurt?
You’re still living in the past if you have not taken control of your health. You are the one who needs to purchase and prepare healthy food; set aside time to work out; eat the right foods to avoid complications from surgery. Others can help, but you need to be in charge.
Problem: Looking for the Quick Fix
If you look for a quick fix, you’ll probably find one. You can lose weight quickly using any number of strategies, and you’ve probably used them all from juicing to low-carb to low-fat. The problem with quick fixes is they’re quick to break, as you’ve found out when you went off the diets and gained the weight back. After WLS, don’t look for the quick fix. Be patient, and know you’re in it for the long haul.
Looking for the quick fix can be something obvious that you recognize in yourself, but it is not always. Looking for the quick fix can be as subtle as subconsciously thinking of what and how much you eat as a temporary diet or thinking of your exercise program as something with a start and finish.
You may be subconsciously looking for the quick fix if you’re unwilling to sign up for a long-term gym membership, or to invest in a kitchen scale or bariatric surgery recipe book. If you feel these things aren’t worthwhile, think about why. Is it because you don’t honestly see yourself needing them for long because you’re not really invested long-term into weight loss surgery success?
Problem: Not Building Your Support System
Many obese people struggle with late-night eating. Even if they are able to make it through the rest of the day eating reasonably healthy, night-time binges can strike furiously. If you weren’t able to overcome them previously, it may have been because you did not build enough of a support system.
This time, don’t underestimate the power of your support system. Include people, such as friends and family, as well as alternate plans. You can set up many layers of protection against late-night overeating. Don’t store junk food at home, and don’t drive home past trigger spots like drive-through burger joints. Have two or three friends or family members whom you can call or talk to if you’re about to make a bad choice, and choose a pre-determined activity to do before eating, whether you decide to blog, sew, or take a walk. Also, have plenty of ready-to-eat healthy food around so it’s easier to grab than any junk.
Problem: Lack of Self-Confidence
Have you ever heard of a self-fulfilling prophecy? You think something will happen a certain way, so you act as though it will happen that way, and then it does.
For weight loss, that can be a bad thing if you let it. “I know my diet’s going to fail, so I’m not going to bother weighing my food.” Then, guess what – you don’t lose weight! “I knew I wouldn’t lose weight.”
But self-fulfilling prophecies can be just as positive as they can negative, especially if you have self-confidence. “I know WLS will work for me, so I’m going to hit my protein goals and weigh my portions every meal.” When you don’t even let doubt creep in, you can be more empowered to follow the behaviors that lead to success.
Weight loss surgery can be a fantastic tool for weight loss, but it’s only as good as you make it. To make it more powerful, don’t run from your personal history. Recognize your past, identify what went wrong, and fix it. Make sure this time really is different.

For a multitude of reasons, the weight loss surgery journey—mentally and physically-- is easier for some than others.
The first month or so can be understandably challenging.
I have treated hundreds of weight loss surgery patients here in New Jersey and can assure you of one fact:

It’s probably not going to be smooth sailing from day one—



like real life, there are going to be some obstacles thrown in your path.




I’d like to help you overcome some post-op issues that may come up:
Recover From Your Operation First, Then Focus on Weight Reduction
You’ve prepared for weight loss surgery for a long time and you’re eager to start shedding those pounds--right now. But first, it’s far more important to heal properly after your operation. As a result, you'll very likely lose weight faster and avoid complications which could potentially set you back.
“I’m Not Losing Enough Weight!”
That’s a common concern and one that is certainly justified! Often patients think they will never be able to overcome obesity and metabolic disease since WLS was a last-ditch effort after years of dieting didn’t work.
Keep your nutrition diary updated. Keep moving. Drink all that water every day. If you didn’t see the scale move this week, you’ll be happier next week. If not, call your bariatric doctor to take a closer look to determine what is causing this temporary setback.
Doubting Your Decision
I view the first few weeks or even months after weight loss surgery as a perfect storm for generating self-doubts about your choice to have the sleeve, gastric bypass or the lap band.
You now realize that subscribing to a lifetime commitment of changing your eating habits and lifestyle is a pretty big deal.
Additionally, you have not eaten solid foods for weeks, which can also be unnerving to some people.
These feelings are completely normal—and temporary.
You’ve undergone a big life change that’s going to take some time to get used to.
Just make a little note to carry with you that says:
1) You are fighting back against obesity-related diseases.
2) You are lengthening your lifespan.
3) You are going to enjoy a significantly improved quality of life.
4) You will look better and feel great every day.
Comparing Your Weight Loss to Others
Everyone fighting obesity is completely unique. While Bob may lose 28 pounds in the first month, Linda may lose only 15. Months down the line, the weight loss figures even out, more often than not.
Think about it. A general round number for great first-year weight loss after bariatric surgery is 100 pounds. That’s an average of 2 pounds a week, or 8 pounds a month.
If you lost 20 pounds in your first month, you’re doing fantastic! To hit 100 pounds in your first year, you won’t even lose a pound every three days.
Don’t worry if the scale doesn’t go down every single day. If you’re eating right, you’ll lose weight.
Better yet, only weigh yourself about once a week.
Take Weight Loss Surgery One Day at a Time
No matter how frustrated you may feel at times, stay positive and focus on following your bariatric team’s instructions to the letter. Continue to eat a liquid diet and then pureed foods. Use this recovery time to plan a day-to-day system to help achieve your long-term success. Learn to measure your food. Schedule specific days/times for food prep, sleep and exercise.
Should you have any pain or discomfort of any kind, call your doctor sooner rather than later. (Yes, it’s often gas, but it’s better to be safe than sorry!)
We want to hear how you’re doing, I assure you.
Weight loss surgery is a lifetime adventure. Your world is changing for the better. When you are temporarily frustrated or disappointed, move forward, look ahead. Because your future is going to be very bright (and healthy!) indeed.
(Photo Credit: Courtesy Witthaya Phonsawat via freedigitalphotos.net)

Are you glad or sad about what’s tucked away inside your clothes closet? Today is Saturday, a day off for some of us, and a good day for peeking at the hidden trash and treasures. Let’s have a look in mine…


My clothes closet is hidden deep within the house. It’s a very small interior room, the one where we’d hide if a tornado came our way. I’m glad to have it, but for most of the time we’ve lived in this house, that closet has not been a place I enjoyed visiting. The not-so-secret evidence of obesity was hidden there – 10 sizes of clothing (from 24 on down) in “slimming” styles and colors – souvenirs of my many trips up and down the scale.
But unless you’re expecting a tornado, the closet is a lousy place to live. Let’s open the door, let the light shine in, and ask ourselves the $64 million dollar question: WHY ARE WE HANGING ON TO ALL THIS STUFF? Let’s grab a jumbo trash bag and get busy working on a Goodwill donation or a batch of goodies for the local consignment store. What, do I hear groaning?
The short fat girl who dwells inside me whines, “But we might need them again someday!”

LET ‘EM GO!


The other day, I cleaned out my clothes closet. I had done that before, about 6 months into my WLS journey, with great difficulty. I was fond of some of those outfits even though they could work as window drapery as well as clothing. I had spent a lot of money on my work wardrobe, to say nothing of the shoes. I feared that the instant those clothes were gone, I’d gain 50 or 75 or 100 pounds and need them all again. I had little faith that my post-op weight loss would be any more lasting than my weight loss had been in previous dieting attempts. Eventually I acquired enough new-to-me, smaller-size clothing that the closet was about to explode, so I made myself cull out the big stuff and haul it off to the Goodwill Store. Getting rid of it turned out to be a relief, and then of course I had the fun of filling up the closet with more clothes in smaller sizes. Back to the Goodwill Store I went...again and again.
In the 8 years following my WLS, I’ve dealt with some unexpected medical problems that led to band removal and a sleeve revision. While all that went on (and on, and on), I regained 30-35 pounds, and sizes 12 and 14 appeared in my closet again, followed all too closely by a few size 16’s. Eventually I lost that weight regain. When seasons changed and I hunted for something warm or cool to wear, I was delighted to find that most of that clothing was too big. I had nothing to wear!
That’s what I call a First World problem, something foolish to complain about when so many Third World people have little or no food, clothing or shelter. But…there’s no denying that morbid obesity is also serious problem, so I can’t bring myself to downplay my weight loss success. The weird part of this is that saying goodbye to the big stuff wasn’t as easy as I thought it would be.
You’d think that weeding out mountains of Goodwill donations would be a festive occasion, but my inner fat girl begged, “OK, get rid of the 14’s if you must, but please, please keep the 12’s! You never know!”
I’m happy to report that I managed to ignore her. In the past 4 years I’ve waved goodbye to the big sizes and welcomed back the small sizes. No, we never know for sure what’s going to happen in the future, what unexpected event will drive our weight back up or our weight management commitment back down. But we don’t need to see constant reminders of past failure, and we shouldn’t give space in our closets or our minds to the negative stuff that weighs us down and slows our forward footsteps.
So, whoever you are, whatever surgical procedure you had or will have, whatever your weight or clothing size is today, I challenge you to clean out your closet. Look at every single garment in there and ask yourself:
does this fit my body now?
does this fit my lifestyle now?
is this required by law (state, federal, religious, or employer)?
does this make me look and feel great?

Any garment that gets 2 or more “No” answers goes in the Goodbye Pile. Simple enough, isn’t it? No, it’s not easy. I go through this at every change of season and probably always will, because my inner fat girl will never forget what pre-op life was like. The only residents of my closet are one fat girl outfit (that I drag out and try on when I’m having a fat day) and way too many adorable size 4/XS outfits. Spring is (I pray) just around the corner here in Tennessee, so I’ve been trying on my warm weather clothing and cheerfully telling the rejects, “Goodbye!”

Rene,
Thanks for this article! It’s definitely an important topic for WLS patients. Within this is an important reminder that the “rules” are there for a reason, or more than one reason! For example, chew your food thoroughly – not just to slow down eating and increase satiety, but also to prevent heartburn!
Another healthy habit that also helps reduce heartburn is to not eat too much just before bed (well, not ever, really!). Instead, eat a little earlier and even take a walk after dinner. That’s not just good for heartburn, but also for weight loss.
I also wanted to point out that caffeine can be another trigger for heartburn, and that’s one more reason to skip it post-op and go easy on it later.
Thanks for this helpful article!

Formerly obese personal trainer Kelly Coffey talks turkey about excess skin, and what she did - and continues to do - about hers.


Dear Coffey -
I’m thinking about having weight loss surgery, but I’m not too keen on living the rest of my life with extra, loose skin. What can I do to keep that from happening?
Sincerely,
Cecelia in CA




Hey there, Cecelia -
Congratulations on taking the reigns and exploring your options. I hope you find a good, honest surgeon who can help you figure out if weight loss surgery might be a strong choice for you.
As with everything concerning our bodies, the topic of loose skin generates a whole lot of hype.
The truth is there are exactly six things you can do to minimize excess, loose skin after weight loss - whether or not you have WLS. The first three are preventative, and apply to the period before weight is lost. The last three apply to the post-weight loss period.
First, prevention.
1- Don’t wait.
Ask any aesthetician or midwife and they’ll tell you: the younger we are, the more our skin can bounce back from a stretch. If you would be more comfortable weighing less and you’re afraid of having excess skin, the younger you are when you lose weight, the better.
But don’t waste precious energy wishing you had lost weight in your early 20s. You have today, and today is where your power is. If there are choices you want to make in service to your health and happiness (whether or not they would result in weight loss) today is the day to make them.
2- Avoid the loss/gain cycle.
Imagine how a once-inflated balloon looks and feels after you let the air out. Now imagine the same balloon after 4, 6, or 10 deflations. Much like the balloon, the more times we lose weight and gain it back, the looser our skin gets.
Again, now is not the time to berate yourself for all those “successful” stints in Weight Watchers that ended with you gaining the weight back and then some - it happens to all of us, myself included. Today is the day to get yourself stronger, more sustainable tools - tools that support long-term weight loss and minimize the probability of gaining it back. These tools exist, and you can get an introduction to them in my free online workshop, Why We Sabotage Ourselves (with Food) (and What We Can Do About It).
3- Keep weight gain to a minimum.
The heavier we get, the more our skin stretches, and the less likely it is to bounce back after we lose weight.
You can’t do anything now about your weight history. Feeling badly about it or judging yourself for it will only make you want to numb out (if you’re anything like me, probably with food). If you are reading this at the heaviest weight you’ve ever been, then this is the heaviest you ever need to be. If weight loss is something you want to do for you, your skin will thank you for making caring choices toward that goal starting now.
That covers the things you can do to minimize excess skin before you lose weight. Now let’s look at what you can do once the weight is gone.
4- Build muscle.
Contrary to popular belief, strength training does not “tone” or “tighten” the skin. Skin elasticity has nothing - NOTHING - to do with exercise. But strength training gives loose skin something hot and firm to lie over - namely biceps, triceps, quads and abdominal muscles.
Lots of folks - especially women - shy away from strength-training, or think it’s better to use smaller weights and do more reps. This is a myth that keeps women from ever seeing the results they want and deserve. Assuming you’re being safe and reasonable, the heavier and harder and you train, the more muscle you build, and the better you’re likely to feel about how your skin looks.
5- Have surgery.
Even if you’re young, even if you lose weight just once, and even if you strength train like a boss, there’s still a limit to the impact we can have on excess skin after weight-loss.
Some consider having skin removal surgery.
If this is something you’re thinking about, be warned: Words like “lift,” “nip,” and “tuck” are misleading. Skin removal surgery is no joke. I know that because I had it. The surgery hurts like hell, and can put you out of commision for weeks or months. Also, the medication usually prescribed to manage the post-op pain is highly addictive. If you’ve got a compulsive / addictive relationship to food, you’re way more likely to get hooked on painkillers than someone who doesn’t struggle with the compulsive overeating.
6- Love yourself.
Loving your body isn’t going to tighten, lift, or shape your skin after you lose weight, but it can minimize the negative impact that living with loose skin might have on you otherwise.
Love is action. Love means making consistently caring choices because you deserve to be cared for, no matter what you weigh or how your body looks. If you struggle to make consistently caring choices, whether you’re pre-op, post-op, or no-op, you’re not alone, and there are practical, usable tools to help you get there.
Where will you fall on the loose skin spectrum? You can’t really know unless and until you lose weight.


I yo-yo dieted for 10+ years, maxing out at 307 pounds. I had Roux-en Y in my mid-twenties and lost over half my body weight. Eventually I started strength training and became a personal fitness trainer. Two years later, I opted to have abdominoplasty (aka a tummy tuck), because the excess skin on my stomach was beyond anything that could be mediated or improved with exercise.





The surgery hurt like a son-of-a-b***h and had me out of work for a month.
I’ve made peace with the loose skin on the rest of my body. The muscle I’ve built with regular strength training helps a lot. So has treating my body with care one choice at a time for over a decade. It’s given me self-respect and peace that make my batwings an insignificant afterthought.
Loose skin post-weight loss is inevitable for those of us who are or have been obese. But if you would be healthier or more comfortable in your body weighing less, don’t let the fear of loose skin keep you from doing what you need to do to get there.
Our bodies will never look like other people’s bodies, and that’s OK.
Our bodies tell our stories, and our stories are our strength.
All good things,
Kelly Coffey
PS: Whether or not you decide to have surgery - and even if you've already had it by the time you read this - you can use the tool that's helped me to turn my life and my health around. To learn it, click here to grab a seat in my free online workshop, "Why We Sabotage Ourselves (with Food) (and What We Can Do About It)"