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Thick loose skin

17 replies9 peopleMay 6, 2026☆ Follow
Summary

why does loose skin stay thick after big weight loss and what can be done about it

The original poster lost 164 pounds slowly over years but still has thick loose skin, partly due to multiple surgeries limiting exercise and other health conditions. Several responders attribute the thickness to remaining subcutaneous fat, age-related loss of elasticity, or genetics rather than rapid loss or dehydration. Most conclude that only surgery like a panniculectomy can meaningfully address it, though insurance coverage is limited and recovery is a concern. Others share their own experiences with similar losses and ongoing physical therapy.

What this discussion establishesWhere people disagree

whether remaining thickness is mostly stubborn fat that can still be lost or permanent skin expansion that requires surgery

Still open

whether peptides could help or worsen the situation given the poster's other medical conditions

Nothing here is advice.

17 replies · 9 people
WarmSparrow33archiveopening postMay 6

Does anyone else have thick loose skin that looks bad? I read it can come from losing weight too quickly, visceral fat, low protein, lack of resistance work, or poor hydration. The first and last do not apply to me, but the middle two might because surgeries have kept me from training. I am recovering from one now and do not want to add more things to deal with. I hope to get back to exercise soon. If you dealt with this, what helped?

CopperMarble49archiveMay 6

If the loose skin still feels thick it usually means fat cells inside are still holding triglycerides, even if some true loose skin is also present. You may have regained a little weight quickly after a big loss and the extra calories turned into stubborn fat under the skin because the body stores it there. A test is to track macros, stay at or below maintenance on fats, and watch if the belly skin starts to feel softer and more watery after a week. Too much salt can also make it look thicker, so sodium balance matters for how it appears.

WarmSparrow33archiveMay 6
↳ replying to @CopperMarble49

I did not lose and regain quickly. I have always carried extra weight. After a car accident seventeen years ago I was unable to move for a year and gained a lot then. The loss since then has been gradual. Right now I am down one hundred sixty four pounds total.

BrightHarbour31archiveMay 6
↳ replying to @WarmSparrow33

At our age and after that much loss the skin probably will not tighten on its own, so surgery may be the only real option.

SharpBramble33archiveMay 7

Mind if I ask your age, current weight, height, whether you train now, and where the thicker areas are? The questions are personal but the goal is to see if anything might help. I have gone through big swings myself and ended up with stretch marks instead of loose skin. Tried many eating styles and fasting approaches. Just looking for ways others here might be able to support you.

IronBramble31archiveMay 7
↳ replying to @WarmSparrow33 (opening post)

First, good work on the loss. Second, hope you reach the shape needed for any skin surgery. I dropped four hundred pounds, had thirteen operations so far, and still do physical therapy. I had a panniculectomy that removed the hanging skin from hip to hip but it was not the finished result I wanted. Chest work helped the worst parts there and took off fifteen pounds total. I was not muscular at the time. Later I regained one hundred forty pounds, then lost again with medication and reached my current point. I want better muscle before doing more surgery so I only pay once. If you just need function, check insurance and keep detailed records.

CopperSignal27archiveMay 7

I doubt much will change without surgery. Once skin has added area and the fibrous connections underneath have lengthened, it stays loose. The parts that were only stretched will shrink back some. After losing eighty kilos I have a lot of loose skin but no plans or money for an operation, so I compare it to how it looked when filled with fat and see it as better, at least under a shirt. How much it bothers you depends on your viewpoint.

WarmSparrow33archiveMay 7
↳ replying to @SharpBramble33

I am fifty six, five foot five, two hundred forty one pounds. Knee surgeries prevent lifting but I walk when pain allows. Right now I am recovering from hardware removal in a tib fib fracture. I also have lupus, rheumatoid arthritis, and Raynaud's. I do what I can, walking the dogs about a mile most days when able and using a stationary bike daily. Someone mentioned lipedema today and I hope that is not the case.

WarmSparrow33archiveMay 7
↳ replying to @IronBramble31

Medicare will probably only cover a panniculectomy if the skin causes medical problems.

WarmMeadow92archiveMay 7
↳ replying to @CopperMarble49

I agree that the thickness is likely fat. Do not be too hard on yourself about exercise. We all work within our limits and surgeries have restricted yours. Walking or biking will not remove extra skin anyway. Skin elasticity depends mostly on age, genetics, and how long and how far it was stretched, none of which you control now. I am still deciding on removal surgery. My insurance will not help and while I could pay, the risks make me unsure. My specialist tends to say no to procedures and I think he is right here since this is only about appearance, not physical problems.

IronBramble31archiveMay 7
↳ replying to @WarmSparrow33

If it is available, it is worth looking into. Someone in my family had it done in a similar situation and they removed twenty five pounds of skin.

SharpBramble33archiveMay 7

Sorry for the personal questions. Heavy lifting can help some stubborn spots but only so far. I have some research compounds arriving soon. If it is okay here and you are interested I could share once they arrive. Look into cagrilintide, AOD-9604, and MOTS-c yourself first and check how they might interact with your conditions before trying anything.

WarmSparrow33archiveMay 7
↳ replying to @WarmSparrow33

I am working on it. Just have a couple more operations ahead.

WarmSparrow33archiveMay 7
↳ replying to @SharpBramble33

That is very generous. I have wanted to try cagrilintide and MOTS-c. Not as sure about AOD.

IronBramble31archiveMay 7
↳ replying to @WarmSparrow33

I understand the feeling. Good luck with the rest.

WarmWillow50archiveMay 7

I am down one hundred sixty pounds from my highest and I am sixty one. Nothing short of surgery will fix the lower abdominal loose skin. Spanx keeps it manageable so I probably will not have it removed. If I were younger I might choose the operation.

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