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BMI right at 40, wondering what to expect regarding excess skin



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Hello all,

I am a 27 year old due to be sleeved in the first week of Aug. Any input on excess skin for those of you starting out with a BMI right at 40? Any thing you have done that helps? Has anybody not really had a problem at all? This is one of my biggest concerns (besides safety of course!) Thank you all :-)

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Hi there:

My BMI was right at 40 (I actually had to gain a few pounds in order to get it there to help qualify for the surgery), and I'm 47 years old. I think skin looseness is dependent on a lot of factors--age, ethnicity, things determined by genetics. That being said, sometimes people who lose more slowly (and by slowly I mean "at a normal pace" for regular, non-sleeved folks) have fewer problems with loose skin. People who exercise seem to have fewer problems with it.

I have loose skin on my stomach and my underarms, but it's not dreadful and it's not anything I need to "cover up." I've only lost 52 pounds, though, although I've moved from a size 26 to a size 18. Some of the smaller girls on the forum who have lost a lot of weight do talk about having loose skin, and at a point, there's just going to be loose skin if you're 5'2", used to weigh 300 and now weigh 130.

Seems like you, with your young age and relatively low BMI, will probably have less problem with loose skin than some folks might. Good luck!!

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I've read that another factor contributing to loose skin is the length of time a person has been obese. That is, if you've been big for years and years, the skin has been stretched out for a longer time versus someone who has been obese for a couple of years.

Don't know if this is accurate or not, but I wanted to share it nonetheless.

Best of luck!

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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