Search the Community

I am on 1500 and maintaining. My exercise is next to none this time of year. If I needed to eat more to loose more then I would need to really exercise. If you really work hard you can loose for up to 2 years after surgery. You can also start eating lower calorie products and go back to protein first and vegetables second. The closer to target the harder the loses are. Do you have access to a dietician with your surgery package ?

Hello long time no speak! I had my vsg 4 years ago . With the typical stalls of loosing weight. As I approached my goal weight . The scale keeps going down. To the point I’m now underweight . Was told not to loose any more. Blood test all come back great. She did order an upper GI . Why? I have no pain or heartburn. i can eat and eat and eat. Half cup or less at an time even wake up in my sleep to eat. I feel as if my body is starving . I’m sure I’ll get the back lash but I know I’m not the only one suffering. If you happen to see a form on here please let me know. I don’t want bad eating habits like chips . Pop . Candy . But I am to keep the scale from moving in the negative 😢

I'm in quite a different situation, but maybe the anecdote will be helpful. I'm trans and had been taking testosterone for a little over a year before surgery. 9 months out, I got my T levels tested and they were double what they had been when I was tested a few months before surgery. I have no real insight as to why and it's possible that I was just absorbing the topical gel better through paper thin skin rather than an inch of fat, but perhaps it has to do with the mechanism @Arabesque mentioned.

4 weeks, 3 days Sorry for the delay in posting. The first week after I got home I slept a lot, night and day. Eating and drinking enough is hard when you sleep so much, so I haven't been meeting my goal of 64oz fluid and 100gm of protein, but I've been getting at least 48oz fluid and at least 60-80gm of protein. My protein oatmeal with extra protein added and my Pure Protein Bars with 19-21gm of protein is a huge chunk of that. 3 weeks in, after sleeping most of the day my body decided it was done with that, and since I'd just slept all day, it chose to stay awake at night. I've been trying to get my sleep pattern under control, but when I went to bed at 10:30 I awoke at 1:24am refreshed from my nap and last night I went to bed just after midnight and woke up at 4am and wasn't able to get back to sleep. I think this time I'll be able to stay awake all day though, so I'm hoping to sleep through the night tonight. I've still been having a hard time with my diet goals since I am trying to sleep at night. If I didn't have the luxury of working at home on my own schedule, I might not be having such a hard time sleeping because I'd be forced to a regular schedule. My husband has had his reservations, but has been supportive through all this because I promised I'd take care of myself. When I feel bad for being gone so long and now sleeping on the couch instead of snuggling with him, he tells me that I've just had surgery and I'm healing, sleep when my body tells me to sleep, and if the couch is more comfortable than sleeping reclined in bed, sleep there. At least I'm spending a few hours snuggling with him at night now. A couple days after retuning home I took my surgical tape off and discovered that I'd pulled a couple stitches. Remember those painful sneezes? I'm pretty sure that's when it happened. I have mighty, full body sneezes that sometimes makes my arm go numb and always said I'll probably die because I sneezed while driving. The wound didn't reopen. There was no bleeding or seeping, there were just larger scabs and one had a tacky feel. The scar in that area in front is going to be uglier than the nice thin scar in the back. This isn't the surgeons fault and nothing would have been different if I'd been there for a follow-up and he took the tape off. I'm waiting for the last scab to fall off before I start using the scar gel and massaging the scar. I have been concerned about the puffy area just above the scar across the front. I told myself it's probably just inflammation. They tell you not to judge the way you look because you won't see the final results for 6 months to a year, but it's hard. When you look at before and after pictures, the after pictures are long enough after for the inflammation to be gone. I went to a friend's commitment ceremony 2 days ago and another friend there had a lower body lift and BBL here in the states with one of the best surgeons (they have more money than me). She had her surgery 10 days after mine and she has that too, so I feel better. To summarize how I felt moving around week by week: Week 1 was difficult getting in and out of bed and it was painful. Week 2 I had the roll and push method down pat so it was easier to get up and down from bed and I could move around better, but when I'd first get up I'd walk more hunched over and this was when I had the really painful sneezes. It was easy to not push myself and to remember not to lift things or bend down because I could feel the pain in my stitches. I was very itchy. Week 3 I was able to move easier and could reach for things, but I could still feel it pull at the stitches, but it was more discomfort than painful so I was having to remind myself not to lift things and to not twist. This is when the itching was at its worst. Week 4 I'm getting stir crazy because I am still not supposed to drive and I promised my husband I'd take care of myself, which means following doctor's orders even if I think I'm OK to drive. Because of the mini BBL he did, I'm not supposed to drive for 4 weeks, then for 2 weeks only short distances "if I have to drive". I was moving normal, but I could still feel it pull at the stitches, but not really uncomfortable, just a pulling sensation. I still itched really bad, but it wasn't as constant. Now I don't really feel any pain except now that I'm sleeping without the pillows and my hips are on the bed, I am not sleeping on my right side because the incision is still a little tender when sleeping with weight on it there. Thankfully I can sleep on my left side and it doesn't hurt. Of course, I haven't slept more than 4 hours that way yet. I was supposed to wear the compression garment 24/7 except when showering for 4 weeks, then for 4 weeks I can sleep without it. I cheated and slept without my compression garment and drove a night early. It was really nice to snuggle with my husband without it even if it was from on top of pillows and just for a little bit because I couldn't sleep. I snuggled lying on 2 thick pillows with my hip/butt between them because of the mini BBL. After talking to my friend who had her lower body lift and BBL here, I'm rebelling a little bit. She was told she could sit on soft furniture without a pillow and sleep in bed without pillows keeping pressure off her butt. I'm still obeying my doctors orders regarding sitting because I can't find an entry on Google supporting that you can sit on soft furniture, but after talking to her I decided to sleep without the pillows under me. I have a thick Temper Pedic Memory Foam pad and REALLY want to snuggle with my hubby and sleep normally. I sleep on my side and he didn't transfer fat to my hips, that's where he took it from. As mentioned above, I can't sleep on my right because it's still tender there when sleeping on it. Of note regarding my breast lift/implants. I don't talk about them because they haven't hurt at all until recently. I get twinges now at the lower scar. I've had implants implanted, removed, and implanted again, so 3 surgeries and the scar tissue at the bottom of my breast is pretty thick and now that the incision is healed I need to start massaging it to break that scar tissue up. The first time I had implants (2006) it did hurt. I had to lean to the side to get one hand wet, then lean to the other side to get the other wet, then rinse the soap off the same way because leaning forward hurt, and it took almost a year before I didn't look like I had super pecs (they sit high when they are new). I'm assuming it didn't hurt this time and they have already settled because the skin didn't need to stretch. Maybe the signals from the incision from the lower body lift overrode anything my breasts might have wanted to tell me as well. When I hit 6 weeks and "can drive", I'm going to drive to Missouri. My Mother-In-Law has cancer of the esophagus and they need help taking care of her. I can work from home and they can't, so I volunteered. She needs help bathing and having her diaper changed, her feeding tube needs cleaned and feeding bag filled, and she and her house needs taking care of. She is on hospice, but not close enough to the end to have daily helpers, but she has a nurse stop by twice a week and a helper come twice a week for a couple hours, so I can save heavy lifting for the helper. I'm going to ask my husband to take some 4.5 week after pics so you can see what it looks like soon after the incisions heal. I'll post again at other intervals so you can see progress as the inflammation goes away and the scar heals. Other than that, I will post if I feel I have something relevant to say regarding my progress. I'll only post about my MIL as it relates to my being able to care for her due to my surgery because this isn't a cancer support forum.

I think it is probably a lot of trauma related to my weight specifically! People, especially family, should know better as you say. A thicker skin is needed at times, I agree. It is just a shame that we have to develop that, rather than people just being kinder. I need to adopt that haha, I am glad you confronted them! I currently have therapy and it is definitely something I need to talk about! Thank you for your reply

Why do you think its you who should change ? Its not you saying these things. Its people who should know better. They are your beloved family after all. TBH I would have come back with something like - well if I am a pig what does that make you ? The big bad wolf ? I am older and have developed a thicker skin. I may be delusional but I always think that if someone is looking at me, its because I am gorgeous haha. I smile, flash my lashes and laugh. A woman stared at me for so long once, I went over and asked her was she waiting for my head to fall off. I know counselling is hard to get here but it would help you, it did me

Same day but in the Uk. Good luck happy loosing!

Thank you! Loose skin is so different for everyone. For me, it's there, but manageable. If I were to elect for surgery, I'd do my arms and breasts. The boobs... Gone. Gone. Gone. But everywhere has been touched in some way with loose skin in various degrees. My husband has been so incredibly supportive and don't mind it .. or so he says. It easily hides under clothes and if I need a bit extra support, I wear a tummy control body suit. Here's a couple other pictures. I'm on the right in the light grey dress. The green tank top pictures are from January 1 and I've lost more since then. I hope this helps ease some anxieties concerning surgery. But keep in mind loose skin varies greatly between people. And the amount you loose varies greatly based on how closely you follow your program. Wishing you all the best!

You are looking absolutely amazing! So healthy and happy! I can't even imagine what it must feel like to go from a size 18 to a size 4. Lordy, I haven't seen 145 lbs since I was 17. Congratulations! If you don't mind my being nosy (because I am close to your same starting weight and height, and probably age too), how is your loose skin situation? Have you posted your before photos on here somewhere?

Oh yes, I've heard of Dr. Puebla. Great reputation and the prices in Mexico are incredible. My starting height and weight and end goal are really similar to yours, actually. I swear, I just can't picture how I'll look at the end at all. But I guess if there's a chance I'll want skin reduction surgery, I should get going on Duolingo! I wonder how much Spanish I could learn in two years...

I made it down to 144 on my own but I finally reached goal thanks to plastic surgery. I'm still recovering from my surgery 3 weeks ago. I actually went to mexico because I found a great Dr that I loved his work and he is board certified in the US as well as Mexico and Cuba. He is known for being very safe and I had to be pre screened medically twice before he would even operate on me. He also works out of a hospital so I thought I had all of my bases covered but my luck is always bad lol. I had complications but I still received amazing care. My only symptom after surgery was a fast heartrate. They brought in all the guns and had a cardiologist, the surgeon himself, a radiologist and the surgeons partner all come in and test me and discuss on my care. My blood came back with a hemoglobin level of only 6.9 and the ultrasound showed a large hematoma. So they immediately wrapped me in a compression garment and then taped me even tighter and I was given 2 blood transfusions through the night. Early the next morning at 7 am I went in for a second surgery to remove the hematoma and to see if I had any active bleeds which I did end up having an arterial bleed which they then fixed. I was also given one more bag of blood. I have the pictures of me opened all the way up during the original surgery and you could not see any bleeding at all so I don't know how this bleed happened but they acted quickly and I felt safe and taken care of the whole time. My dr always has everyone stay at least 1 night in the hospital and I think that is what saved me. So many people go home right away and if that had been me with no other symptoms, I am afraid to think of what could have happened. I was never dizzy or nauseous or even really tired. Just a fast heart rate of 120 with spikes to 150. Unfortunately because I had to have 2 surgeries my front tummy tuck scars are taking forever to fully heal but they are still doing great. No infections, just slow healing. I had a lower body lift which is the cut that goes all the way around and is great for tightening the front and the back. Lipo to my back and flanks, a small bbl and breast reconstruction. So I did have a ton of stuff done and with hind sight I may not have chosen to do it all at once because I wonder if that was increasing my chances of complications After the fact though I'm so glad to have it all done and not have to face any more surgeries. They removed about 8 lbs of skin and 2 in fat. I haven't weighed this little since middle school and I'm still swollen so who knows what my final weight will be. I'm so happy with my results and will have to share pictures once I'm fully healed. My youngest daughter and I went shopping this week and bought crop tops to wear together to celebrate. I've never worn a crop top ever. So I'm looking forward to wearing it in the near future. Gastric bypass certainly has changed my life in amazing ways

oddly enough, my skin folds & skin rubbing bothered me more when i was overweight vs. AFTER the weight loss. my issues were all centred around sweat and moisture, so for me, it was all about keeping dry. i used non-talc baby powder (the johnson and johnson cornstarch baby powder is whar i used most) in my "problem" areas: between my thighs and my under boobs. worked great so long ad i was vigilant about it (if i wasn't, i'd get itchy and rashes, and worst case, i'd get open sores). but like i said, as i lost weight it actually got better so i ditched the powder.

Thats great information, I am sure someone will benefit from it! The itchiness and redness went away after I took off all the glue myself… doctor didn’t want to take it off because it was still sticking. I just couldn’t take it and took it off myself. I don’t recommend anyone doing this… after I took it off, it took about 1 week for the redness to go down. It is now drying and skin peeling like it got burnt.

I would suggest maybe asking them why your fat target is so low? Is this a temporary target? Most studies now are showing we need 30 grams of fat for healthy brain function and more like 50-60 grams of fat for proper sex hormone function, regardless of our caloric intake. I asked my dietician about this and she said the ASMBS (American Society for Metabolic and Bariatric Surgery) suggests a fat target of 60 grams daily by 1 year post op. I can't find a reference to this on their site because there it is behind a member wall, but your dietician should have access to this and it is the guidelines most good programs follow. By all means, follow what your team says, I'm not saying to ignore their targets, I'm just pointing out with fat that low you may experience brain fatigue, dry skin, dry eyes, and your meals may not feel as satiating since getting enough fat is a component of satiety. But other than that your numbers look amazing for how early out you are post op!! Your surgeon should be thrilled you are able to get that protein in, it is soooo good for wound healing!

I have to eat every 2-3 hours and have since I was post op, so I eat 5-6 small meals a day. I prefer this because it keeps me from mindless snacking, provides a rhythm to my day, and allows me to get in a variety of flavors and textures. I'm only 3 months post op, there is no way I'd get my daily macros in with just 3 meals a day. My stomach doesn't have that capacity and if I go past 3 hours without eating my energy crashes, I feel light headed, nauseous, shaky, and irritable. Each person's body is different, but by necessity I ascribe to the "eat less more often" method and I'm not alone in that need. My target macros are 120 grams of protein, 100 grams of fat, 40 grams of total carbs, calories don't matter because I malabsorb a good percentage of fat and a moderate percentage of protein. 8:00 am Premier Protein Vanilla Shake 9:30 am 3 tablespoons hashbrowns, 4 cherry tomatoes, 1 1/2 scrambled eggs 12:00 Ratio Coconut Keto Yogurt and 2 tablespoons Diabetic Kitchen Granola 3:00 pm Espresso with 1/2 cup Fairlife Whole Milk, Quest Spicy Sweet Chili Protein Chips 6:00 pm 1 grilled chicken thigh, no skin, 3 tablespoons green beans 9:00 pm 14 Wasabi Soy Roasted Almonds, 1 Choxo Dark Chocolate Coconut Cup Total Macros: 116 grams of Protein, 40 total grams of carbs, 78 grams of fat, 1305 calories. This is pretty typical for me. I don't always eat the protein chips, I was just in a hurry and they are one of my go-to snacks when I can't have something perishable. Normally they'd be a protein and veggie.

I had just gone from pre diabetic to full on diabetic. This propelled me towards the surgery. I was prematurely old, walking with a stick and just about managing to keep house. I am now energetic, independent and quite frankly blooming. My high blood pressure disappeared with in two months and I came off those meds. At 6 months out, I was back to prediabetic. 12 months out, I was no longer pre diabetic. I had a rough ride early on. I had a very narrow new stomach. Eating and drinking were difficult. I have gained GERD which is a pain but its manageable if I eat and drink right. I eat out, drink alcohol and leave food uneaten. I have loose skin but I look great in clothes I am overjoyed that I did this surgery. I fit in the world, nobody looks at me.

So i started taking the b12 complex ( advised by the doctor to switch to complex) and it hasnt completely cured the itching but im not wanting to scratch my skin off now lol hopefully within the next few days it stops altogether. I also have been using cocoa butter to slow it down. Now the other issue im having is eat pureed foods. I have threw up every time i try to eat the recommended foods and measured amount. I tried to puree the food myself but maybe im not doing it right. I called the nurse anyway and was advised to puree it more, take smaller bites ( i mean how small do i need to do really like a baby spoon? ) and if im still having issues in 2 days call back and they will figure out something from there. When i swallow it feels like its stuck in my throat and just sits there and it hits my gag reflex when i drink water ( after 20 min of eating) so everything is just floating around in my throat and blam its coming back out. I feel the measurements i was advised to eat is still too much for me 1/4 cup i cant eat it. The only thing close to normal i can eat is yogurt and that is technically in the full liquid category. Im getting agitated again because its like man when will i be able to EAT!?? I dont care if its broccoli or carrots at this point i just want to be able to eat food again lol but im stuck at full liquids at this point i dont know how this is going to go but as always ill keep you all posted. Wish me luck.

I can’t speak on the diabetic side, but I had my Gastric Sleeve done 12/4/2023, and I don’t regret it one bit. Recovery was quick to my surprise. I was allowed to go home the same day of the procedure. Make sure you walk because the most discomfort comes from the air they pump you full with during the surgery. Walking helps it escape. I was feeling fine day 2. Day 3 I stoped taking pain and nausea meds. I retuned to work after 2 weeks. You’ll have a sharp pain in your side if you laugh or cough; don’t panic it’s normal and will go away. Just hold your side, it helps. Pros: - You definitely lose weight (down 50lbs) - I sleep through the night, and it’s good sleep!!! I literally don’t even move. I used to toss and turn. - My feet, and knees no longer hurt. - My self confidence has increased. - I can cross my legs and feel girly. - I don’t feel limited because my size isn’t a thing anymore. - Save money on food. Cons: - Not an easy fix (you’ll have to create good eating habits. I was a binge/emotional eater. Sometimes when I get bored or depressed I snack and then my stomach hurts) - Lose skin (if that matters to you) - Going out to dinner is a waste because you will only be able to eat maybe 1/2 cup of food if you’re lucky. (Leftovers will last you a week) - Buying new clothes gets expensive!! (But feels amazing, so not such a con after all) To be honest I wish I had done this sooner. I was impatient and went the self-pay route because I didn’t want to take the classes insurance requires of people, but if you are willing to wait I can see the benefits the classes can do for you. Good luck to you!!

I try not to reply to these threads before other folks because my experience is nearly two decades past and my personal experience was anything but normal. But here we are. I lost a bit more than 500 pounds so yeah, I had a little extra skin. I had initially planned for abdominoplasty and thigh-plasty whatever it's Latin name was. Others I would then ponder later. I say initially because after the abdominoplasty I hemorrhaged and died briefly when they ripped me open to fix the problem. I was supposed to end up with a virtually invisible scar, but that ship sailed when they had to open me back up. Once I woke again my recovery followed a pretty normal trajectory for the time: 15 pounds of skin removed and lots and lots of pain. Lots and lots of pain wasn't unexpected as everything I read beforehand indicated such would be the case. And yet the reality of it was a bit overwhelming. After about three weeks, as I recall, everything became manageable and life began returning to normal. I'm not sure how much the methods and pain have changed, I'll leave that to others. I honestly can't see how my experience or recovery would have been different from a woman's experience and I certainly didn't ignore anyone's experience in my research. I lived in Las Vegas, NV at the time I had surgery, but there wasn't anyone in town that was able or willing to do my surgery, so I ended up having it done at UCLA Medical Center in Southern California. So, I can't really name surgeon's that might help you. Good luck, Tek

I'd really love to hear from other men who have had plastic surgery following weight loss. I am a year and a half out from my bypass now and for the most part am pretty happy with the results. My weight has held pretty steady for the last six months and I've been working with a personal trainer for a few months now and happy with the results, especially in my arms and shoulders. However, as is to be expected there is a lot of loose skin around my middle. I have tried wearing my trousers higher than I used to and for the most part it's okay, but still feeling pretty self conscious about taking my shirt off - especially when I lean forward and the skin drapes off my torso. I've been thinking a lot about surgery to remove excess skin - definitely around my stomach but possibly my upper arms, inner thighs, and butt. I'm trying to find more information, but a lot of first hand accounts here in the forums tends to be from women, and when I look on surgeons' websites they tend to feature before and after photos and testimonials from women. Are there any men here who would be up for sharing their experiences of surgery after WLS? I'm especially interested in the procedures you had, the recovery process, and photos of the results if you'd be willing to share. Also, any recommendations for surgeons in the UK would be really appreciated!

Thank you for sharing your surgical journey. I've heard nothing but horror stories about plastic surgeries in Mexico and other countries, so it gives me hope that perhaps I won't have to live like this wrinkled old elephant or person in a too large skin suit for the rest of my life!

Yeah they do. They know what I’ve been through physically and mentally. But we have estranged a little only eating out every 3 months with them. They struggle to have cash to go out, so she hates waste I feel bad about wasting money. Even if I get a doggy bag. Generally hubby eats what’s left. I feel guilty about that too as he has weight issues(105kg) and is diabetic. His parents grew up on disability and money was always tight and he is old school about eating everything on your plate. I generally order an entree or alter the main meal and ask for it with the entree’s. That way I eat over the hour or so we are out and normally I just have water which I hardly touch. Or if I’m with my 12yr old we share a meal together. I normally have a drink before leaving home. And again when I get home. my eating does suck At the moment again. As mentioned I’ve been away from home a lot. I eat 1-2 times a day. Everything is mainly liquid now. Much easier to make up and keep in an insulated container and just sip away. Eating out: it’s a nice way for you to buy new clothes and show them off. your photos look so good. I’ll have to find mine. (But most are in my underwear or nothing and I’m not posting either of them.) I do have a photo where I’m in my pjs and I just show my belly and war wounds. I have lost a few cms everywhere since surgery #4.(Nov2nd) the surgeon told me repeatedly I would only loose 5kms this time. But things have been better. I see him on the 15th Feb for my month follow up since my issues. some have been resolved. I sprained my ankle walking. Which on ultrasound has shown I tore my perineal in my right foot and am only allowed to walk 10mins a day. So now I lug around a moonboot. This becoming a new person is pushing my boundaries. I'm away from home for 4 weeks straight (2 in our capital city, 1 in Sydney and then another week in capital city) so this will test my eating. I’m determined to not fall into bad habits. Just don’t know how much of a routine I can follow. my measurements and pics below the pics are in order. before op one op two op 4 today 4th Feb

I get my face and neck done 2xs a week. My arms and stomach 1x a week on alternate visits. My face is smooth and tight. My neck has a bit of loose skin but not sure how it would be had I not been getting the cryotherapy. At over 300 pounds I had a double double chin so I'm pretty happy with the results so far. My phone quit working on face recognition. until I realized I needed to update my photo. And my driver's license pic looks nothing like me anymore, so I'll be making a trip to the DMV soon. The last couple times I had to show my ID they did a double take. LOL GL @ChunkCat finding a treatment that suits you. And I wouldn't give that rude mall person a cent of your money.

All low cut bras are out for me. All this wrinkling skin on show (more than I actually have too). It’s full cup & only full cup for me. Don't get me started on moulded strapless. OMG I can put half a fist in the top of them. Than goodness I found a bandeau strapless that went to an E cup. Not perfect but better than anything else I tried.

Babyspoons, do you get the cryotherapy on just your body or do they do your neck too? A very rude esthetician pointed out my turkey neck this week while I was roaming through the mall. I'm pretty self conscious about it because it is a hereditary thing in my family (along with jowls). I don't want to do a facelift in my early 40s so I am searching around to see what treatments might be available for me to do as I lose weight so I don't end up with quite as much loose skin there...