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I am wondering how many people need plastic surgery after the gastric sleeve. I am 5’6 and weigh 235, and I am starting the process for gastric sleeve. I am realistic that a little skin sag may be a possibility, but I am worried about drastic skin sag and my insurance not covering any needed surgery.

I am 37 years old and my goal weight is 140-150, so I would be looking at around 80 pounds. I’ve lost weight before and never had the loose skin, but I am older now and the weight loss would be much faster. I am also a teacher so plastic surgery will never but in my budget, lol.

Has anyone lost a lot of weight and not needed surgery afterwards for skin?

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I started out *way* bigger than you. I have it, but it's very easy to hide. No one knows it's there except for me, my husband, and my doctor. You're starting out much lighter than I did, so you most l likely won't have as much as I do. Of course, *you'll* see it and it might bother you, but other people probably won't. So having plastic surgery will most likely be a choice rather than a necessity (well, that's true in my case, too..)

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I'm 49 (had surgery at 45) 5'5" lost 100 pounds. Initially had major sags and wrinkles in my face, jowls, neck, upper arms, belly, butt and legs. My face, neck and arms tightened up nicely within a year. I Probably look older with the lines on my face than I did with chubby cheeks, though. Still have Looseness on my belly, but not too bad that I'm not afraid to show it off. Below my waist is a disaster. My ass skin is on my thighs and my thigh skin in on my knees. Despite wearing size 5/6 jeans, shorts and skirts are not a part of my wardrobe. :) But I'll take saggy skin over smooth fat any day!

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In the beginning I was worried about my arms and belly but then as time passed by, I stopped losing drastically and started exercising regularly. I am seeing a significant difference in those areas. I think you should give it time to snap back before you consider surgery.


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I have had the same concern. I am 5'6 and weight 244. I want to get down to 148 and I am wondering if there is a way to get the weight off and tighten at the same time. I am only 28 so maybe that will help me. Will working out and strength training help with the sagging?

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I have had the same concern. I am 5'6 and weight 244. I want to get down to 148 and I am wondering if there is a way to get the weight off and tighten at the same time. I am only 28 so maybe that will help me. Will working out and strength training help with the sagging?


I am now 239 but when I was younger and weighed 169, I still had curves but also a flat stomach. I was super fit and weight lifting did wonders for my shape (also contributed to the higher weight for my size). I still work out a few times a week but I am really changing my focus to lifting for the next few months. I also don’t want to go below 150, so that might help me. I expect some skin but I am also going to be proactive in the weight room.


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I'm not planning on being a nude model....so, to hell with it. LOL.


LoL too funny! 🤣🤣


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10 hours ago, PrayingForWeightLoss said:

My boobs are sagging after losing 50kg so far. Belly and arms are fine so far. I could use a boob job but can't afford it.

Oh yeah, forgot about my boobs. Picture two tennis balls dangling in a couple of socks. Went from a 44DD to 34 A/B. I really wouldn't even need a bra if I didn't need someplace to stuff all the excess skin. Actually hard to find bras I don't fall out of when I bend over.

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Oh yeah, forgot about my boobs. Picture two tennis balls dangling in a couple of socks. Went from a 44DD to 34 A/B. I really wouldn't even need a bra if I didn't need someplace to stuff all the excess skin. Actually hard to find bras I don't fall out of when I bend over.


Well, this might be where I am a bit lucky. For some reason, that is the one area of my body that never grew much, LoL. I am finally up to a full B now that I weigh 239. When I was at my smallest and fittest, I pretty much could have worn a training bra and been ok.


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Oh yeah, forgot about my boobs. Picture two tennis balls dangling in a couple of socks. Went from a 44DD to 34 A/B. I really wouldn't even need a bra if I didn't need someplace to stuff all the excess skin. Actually hard to find bras I don't fall out of when I bend over.

Lol. Your description is hilarious!


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From what I’ve noticed, it seems like plastic surgery is more so a want than a need for most people (just my observation). It can cause medical issues like skin rashes, but if it doesn’t, having skin removed is elective. It also seems like some insurances will pay for it if it is deemed medically necessary, but that’s just what I’ve seen on here.

Once I lose all of my weight, I want a breast augmentation, Tummy Tuck, arms, etc! But that’s just me! With the way I carry my weight, it’s inevitable that I’ll have a lot of loose skin on my stomach and arms, no matter how much I lift weights. Not everyone feels the need to get rid of the excess skin, and that’s completely okay! We are all different.


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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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