Everything You Need To Know About Loose Skin And Weight Loss

Everything You Need To Know About Loose Skin And Weight Loss
By Tom Venuto, NSCA-CPT, CSCS
www.burnthefats.com

I receive a lot of e-mail from people with loose skin or from overweight people who are concerned about having loose skin after they lose the weight. In fact, this is one of the biggest concerns and most frequently asked questions I receive from men and women who have a lot of weight to lose.

Just recently, I received this email from a reader of my syndicated "Ask Tom" fat loss column:

"Tom, I began a fat loss program using your Burn The Fat system and it worked so well I got down to 15 1/2 stones (from 19). However, this has caused me a problem: Excess abdominal skin. I didn't crash lose this weight, it came off at the rate of about 2 lbs. per week just like you recommended. Now I'm unsure of whether to carry on, as my abdomen has quite a lot of excess skin - I feel like I've turned into a bloody Shar-Pei! Does everyone go through this? Will the skin tighten up? I was overweight for more than 12 years. Am I going to end up needing surgical skin removal? Can you offer me any advice? I'm a medical student in the UK and my colleagues seem determined to proffer surgery as the only option."

There are 14 things you should know about loose skin after very large weight losses:

1. Skin is incredibly elastic. Your skin can stretch and expand or tighten and retract to a great degree. Look at what women go through during pregnancy. Some women do experience stretch marks after pregnancy, but obviously skin is remarkably elastic.

2. Elasticity of skin depends on both genetics and environment/lifestyle. Wrinkling and loss of elasticity is partly the consequence of aging (genetic factors) and also a result of environmental factors such as oxidative stress, excessive sun exposure, and nutritional deficiency. The environmental parts you can fix, the genetics and age part, you cannot. Advice: Get moving and change the things you have control over... Be realistic and don't worry about those things you don't have control over.

3. How much your skin returns to its former tautness depends partly on age. The older you get, the more an extremely large weight loss can leave loose skin that will not return to normal.

4. How long you carry extra weight may influence how much the skin will become taut after the weight loss: For example, compare a 9 month pregnancy with 9 years carrying 100 excess pounds.

5. How much weight was carried has a lot to do with how much the skin will resume a tight appearance. Your skin can only be stretched so much and be expected to "snap back" one hundred percent. With extreme obesity, the probability of there still being loose skin after weight loss is higher.

6. How fast the weight was gained also has a lot to do with how much the skin will resume a tight appearance. Your skin can only be stretched so quickly and be expected to "snap back."

7. How fast weight is lost also has a lot to do with how much the skin will tighten up. Rapid weight loss doesn't allow the skin time to slowly resume to normal. (This is yet another reason to lose fat slowly; 1-2 pounds per week, 3 pounds at the most if you have a lot of weight to lose, and even then, only if you are measuring body fat and you're certain it's fat you're losing, not lean tissue).

8. There are exceptions to all of the above; For example, people who gained and then lost incredible amounts of weight quickly at age 50 or 60, and their skin returned 100% to normal.

9. Creams probably don't work. There are many creams advertised as having the ability to restore the tightness of your skin. the late bodybuilding guru Dan duchaine used to recommend topical creams made with pycnogenol, which contain the antioxidant bioflavanoids called proanthocyanidins. But to the best of my knowledge, none of the topical creams are scientifically validated. I haven't even heard much anecdotal evidence that they work -- at least not permanently and measurably -- and especially if you have a lot of loose skin. There are definitely some topicals that will pull water from under your skin, but remeber, that is temporary. Buyer should beware with topical products. (as an aside, Ive also heard anectodal reports that skin brushing was helpful, but again, I am not aware of any scientific evidence proving this is effective).

10. Nutrition has a lot to do with the health of your skin. Essential fatty acids in particular are very valuable for many reasons, and one of them is for the health of your skin. It would be worth taking an EFA supplement such as fish oil, flax oil or an oil blend like Udo's choice. Antioxidants are also very important, so be sure to consume copious amounts of a variety of vegetables and fruits. Also pay very close attention to hydration. Drink approximately a gallon of water a day or a minimum of half your body weight in ounces. (By the way, whey protein is high in a powerful antioxidant called glutathione).

< 11. Exercise has a lot to do with how your skin appears after you lose body fat. If you use very low calorie diets, you are likely to lose lean body mass, and this is going to exacerbate the loose, hanging skin appearance. On the other hand, if you are exercising regularly and increasing lean body mass with weight training, you will be more likely to minimize the appearance of loose skin.

12. Get second opinions if you are considering surgery.If you're considering surgical skin removal, consult a physician for advice because this is not a minor operation, but keep in mind that your plastic surgeon may be making his BMW payments with your abdominoplasty money. (Surgery might be recommended in situations where it's not 100% necessary). Surgery should be left as the absolute final option in extreme cases.

13. Give your skin time. Your skin will definitely get tighter as your body fat gets lower. I've seen and heard of many cases where the skin gradually tightened up, at least partially, after a one or two year period where the weight loss was maintained and exercise continued.

< 14. Know your body fat percentage before even thinking about surgery. Loose skin is one thing, but still having a lot of body fat is another. Be honest with yourself and do that by taking your body fat measurement. This can be done with skinfold calipers or a variety of other devices (calipers might not be the best method if you have large folds of loose skin. Look into impedance analysis, underwater weighing, DEXA or Bod Pod).

Suppose for example, a man drops from 35% body fat all the way down to 20%. He should be congratulated, but I would tell him, "Don't complain about loose skin yet, your body fat is still high. Press onward and keep getting leaner and be sure to focus on strength training to increase lean body mass as well."

Average body fat for men is in the mid teens (16% or so). Average body fat for women is in the 20-25% range. Good body fat for men is 10-12%, and single digits is extremely lean. Men shouldn't expect to look "ripped" with 100% tight skin on the abs unless they have single digit body fat. Women shouldn't expect to have tight abdominal skin unless they are in the low to mid teens in body fat.

Except in extreme cases, you are actually unlikely to see someone with loose skin who has very low body fat and especially someone who has not just "lost weight" but has altered body composition by adding lean muscle as well. It's quite remarkable how much your skin can tighten up once your body fat goes from "average" to "excellent" and even more so when lean body mass increase. Someone with legitimate single digit body fat and a ton of loose skin is a rare sight.

So the key to getting tighter skin is to improve your body composition (muscle to fat ratio), and lose more body fat, slowly and sensibly, up to the point where your body composition rating is BETTER than average (in the "good" to "great" category, not just "okay"). Only AFTER you reach your long term body fat percentage goal should you give thought to "excess skin removal." At that point, admittedly, there are bound to be a few isolated cases where surgery is necessary if you can't live with the amount of loose skin remaining.

However, unless you are really, really lean, it's difficult to get a clear picture of what is loose skin, what is just remaining body fat and how much further the skin will tighten up when the rest of the fat is lost.

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About the Author:

Tom Venuto is a lifetime natural bodybuilder, an NSCA-certified personal trainer (CPT), certified strength & conditioning specialist (CSCS), and author of the #1 best-selling e-book, "Burn the Fat, Feed The Muscle.” Tom has written more than 200 articles and has been featured in print magazines such as IRONMAN, Australian IRONMAN, Natural Bodybuilding, Muscular Development, Exercise for Men and Men’s Exercise, as well as on hundreds of websites worldwide. For information on Tom's Fat Loss program, visit: burn fat web site

How To Lose 20 Pounds Really, Really Fast

How To Lose 20 Pounds Really, Really Fast

By Tom Venuto, NSCA-CPT, CSCS
http://www.burnthefat.com/

Back “in the day” when I was a full time personal trainer and I met with weight loss clients in person at my New Jersey Health Club, the first thing I would always ask during the initial consultation was:

"Tell me what you want... and I'll show you how to get it."
Typical reply from client: "I want to lose 20 pounds fast."
My reply: "Are you SURE that's what you want? ...If I can show you how to lose 20 pounds REALLY fast, will that make you happy?"

They nodded their head affirmatively as their eyes lit up in anticipation of the rapid weight loss secrets I was about to reveal...
Their face went white when - with a totally straight face – I pulled out a hacksaw and started walking towards them.... menacingly.
Not sure whether to laugh or run in sheer terror, they said,
"What the heck are you doing?"
"You said you wanted to lose 20 pounds fast. This is the easiest, surest, most effective way I know to take 20 pounds off you FAST! In fact, I figure that right leg of yours might even weigh 25 pounds!"
I kept walking closer and started to get into sawing position, wielding my fast, effective and guaranteed weight loss tool...
"Bear with me because this IS quick, but sometimes it takes a few minutes for me to cut through the bone."
By this time, my client (and I) are either completely cracking up, I have seriously scared the living you know what out of them, or they just think I'm a complete lunatic... (depends on whether I was able to keep a straight face or not)
Finally, the light bulb goes on, and my client would see where I was going with this:
"Okay, smart alec," I get it... I don't want to lose WEIGHT, I want to lose FAT."
Sometimes I would be having so much fun, I would just keep on playin'...
"But why not? This is easy, fast and guaranteed - just what everyone wants these days... it's even better than taking a pill! Come on... let me hack it off! You'll be my next testimonial: 'I lost 20 pounds in 5 minutes!' Imagine what that will do for my business!"
"Very funny. I told you, I get it! I want to lose FAT, not muscles and bones. I need my leg!”
Naturally, of course, I don't always have to pull out my trusty blade. Every once in a while... about as often as a total solar eclipse... a client answers my question like this:
"What do I want? Tom, I want to lose 20 pounds of body fat in the next 12 weeks. I want to do it slowly, safely and healthfully and then keep it off permanently. I want all the fat around my hips and thighs completely gone and I want a firm flat stomach. I want muscle all over my body while still looking feminine. I'd like to see myself at about 16% body fat and maintain all my muscle or gain a few pounds of lean mass if I can, especially in my arms. This is important to me because I want to set a good example for my kids, I want to be healthy and live to at least 90 and I want my husband to look at me and say, "I love your body," and I want to be able to *honestly* say back to him, "me too!"
It is on these rare occasions that I know there is still intelligent life on this planet.
If you could answer the question, "What do you want" with the lucidity, clarity and specificity that this woman did, I don't think you would ever have any difficulty reaching your health and fitness goals... or any other goal in your life, for that matter.
Her answer was what you call a very "well-formed" goal, backed up with lots of emotional motivation-inducing "reasons why."
"I want to lose weight" is a poorly-formed goal.
"Weight" is not the same as "fat." Weight includes muscle, bone, internal organs as well as lots and lots of water.
If you only learn ONE thing from all my newsletters, articles and books, PLEASE learn this:
WHAT YOU REALLY WANT IS TO BURN THE FAT, WHILE KEEPING THE MUSCLE!!!!
FAT LOSS is what you want, not weight loss.
If your body were 100% rock-solid muscle, with absolutely nothing that jiggled (unless it was supposed to), would you care how much you weighed?
I bet you wouldn't! And if that’s true, then…
STOP WORSHIPPING THE SCALE AND START MEASURING YOUR BODY COMPOSITION!
By measuring your body fat, you take the guesswork out of your health and fitness plan and you get an accurate picture of what's really happening in your body as a result of your diet and exercise program.
Instead of worrying about whether you are losing muscle, or wondering if you are losing fat, you can measure it and KNOW for sure. (I always get a good chuckle when someone tells me they're worried about losing muscle when they don't even measure how much muscle they have!)
Instead of being confused by all the "opinions" from weight loss and exercise "experts" who are all telling you something different, you can MEASURE your body composition and based on the results, you can KNOW for sure whether your program is working.
A very wise man once said,
"A single measurement is worth a thousand opinions."
So, how do you measure body fat?
Thanks to technology, there are some methods today that are so accurate, they can tell you whether your left pinky has more fat than your right pinky! Unfortunately, many of them are either too expensive or they are inaccessible, being found only in hospitals or research facilities
If you want to learn a LOT about various body fat testing methods, chapter 3 of my e-book, Burn The Fat, Feed The Muscle (http://www.burnthefat.com) goes into great detail about the pros and cons of all the various fat testing methods. Instead of re-hashing it all here, let me give you three quick and easy, practical suggestions:
Suggestion 1: Have a trainer or fitness professional measure you if this service is available at your local health club. Sometimes, there's a charge - usually $15 - $25, although some clubs offer the service for free to all their members.
Suggestion 2: Purchase an Accu-measure skinfold caliper. Do a google or yahoo search to find a reseller.
The Accu-measure was designed to allow you to measure your own body fat in the privacy of your own home (you don't need someone else to measure you)
Some people wonder if this is really accurate. Truth is, it's not quite as accurate as a multi site skinfold test from an experienced tester, but what's most important is not the "accuracy" per se, but the reliability and consistency of your measurements so you can track your progress. Skinfold calipers in general are not accurate or inaccurate, it's the person doing the test that is accurate or inaccurate.
Suggestion 3: If you have a spouse, roommate, or friend who can measure your body fat, you can purchase a Slim Guide body fat caliper (or just about any brand of caliper) from Creative Health Products: chponline.com
The Slimguide is the best inexpensive caliper available (about $20), but it wasn't designed for you to measure your own body fat like the Accu Measure. You'll need someone to measure you with this caliper. Other models of body fat calipers (if you want to splurge), range from $150 to $450. (At our health clubs, I use the electronic "SKYNDEX" caliper with the 4-site "Durnin formula.")
The calipers come with instructions, or you can use these formulas, which I have used and found to be very accurate:
4 Site formula for men (abdomen, suprailiac, thigh, tricep)
% fat = .29288(sum of 4 skinfolds) - 0.0005(sum of four skinfolds squared) + 0.15845(age) - 5.76377
4-Site Formula for women (abdomen, suprailiac, thigh, tricep)
% Fat = (.29669)(sum of 4 skinfolds) - (.00043)(Sum of four skinfolds squared) + .02963(age) + 1.4072
[Source: Jackson A S, Pollock, M (1985) Practical assessment of body composition. Physician Sport Med. 13: 76-90.]
Body fat percentages vary based on age and gender, but 20-25% body fat is average for women (15-19% is ideal), while 15-20% is average for men (10-14% is ideal). I have detailed charts for body fat charts in my e-book if you're interested.
Once you know your body fat percentage, then weigh yourself and record your weight and body fat on a progress chart such as the one found in my Burn The Fat Feed The Muscle Program (a fat loss program, not a weight loss program). This chart is how you will track your progress and "keep score."
You can calculate your lean body mass (muscle and other fat free tissue) very easily just by crunching some numbers:
For example, if you weigh 200 pounds and you have 10% body fat then you have 20 pounds of fat (10% of 200 = 20). That means you have a lean body mass (LBM) of 180 pounds.
Now we're talking! With this data, you can get a really clear picture of how your exercise and nutrition program are affecting your physique.
Losing weight is very easy. Losing fat - and keeping it off without losing muscle - is a much bigger challenge. If you simply wanted to lose weight, we could just chop off your leg.
Or, (slightly less painful), I could show you how to drop 10 - 15 pounds over the weekend just by dehydrating yourself and using natural herbal diuretics. Wrestlers do it all the time to make a weight class. But what good would that do if it’s almost all water and you’re just going to gain it all back within days?
You don't have to "throw away your scale" like many "experts" tell you to. By all means, keep using the scale, the tape measure and even photographs and the mirror - the more feedback the better - but body fat is where it's at.
By the way, I recently bought a chain saw and a shiny new axe from Home Depot, and I've been practicing my "American Psycho" and Jack Nicholson, "The Shining" impersonations... so if you want to come to my office any time soon for personal consultation, you'd better have the right answer to my question, "What do you want?"
For more information about a nutrition and training program that focuses exclusively on FAT LOSS, not WEIGHT LOSS, visit: http://www.burnthefat.com

About the Author:
Tom Venuto is a lifetime natural bodybuilder, an NSCA-certified personal trainer (CPT), certified strength & conditioning specialist (CSCS), and author of the #1 best-selling e-book, "Burn the Fat, Feed The Muscle.” Tom has written hundreds of articles and been featured in IRONMAN, Australian IRONMAN, Natural Bodybuilding, Muscular Development, Exercise for Men and Men’s Exercise, as well as on dozens of websites worldwide. For information on Tom's Fat Loss program, visit: http://www.burnthefat.com

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As a matter of fact, I am also personally struggling to control my weight. I am not obese but slight over weight. My body fat is on the high side and lack muscle. Which means that I am potentially vulnerable to diseases like heart diseases, hypertension, diabetes and stroke. After adopting Tom's strategy, I am able to reduce my weight from 74kg to 69kg in 3 months. That puts me back into BMI of 24.6, just below the over weight level. Certainly, I still have a lot to do. I need to go down further to 65kg to be in the more comfortable zone. Oh what? You mean the picture on the right? That is not me. That is Tom. OK.

Look at my picture below. I am still a little over weight. I will update my picture in 2 months. You will see the difference. Of course I am not a bodybuilder. I won't be looking like Tom.

By the way, Tom allowed me to put his pictures because I am writing a lot of good things about him.

Sincerely,

Randy