Losing a significant amount of weight is a major accomplishment — and for many bariatric patients, it’s life-changing. But one common side effect that often catches people off guard is loose skin.

If you’re wondering why loose skin happens after weight loss surgery and what can be done about it, you’re not alone. Let’s explore the causes, where it commonly appears, and what options exist to address it.

Why Does Loose Skin Happen After Bariatric Surgery?

When you lose weight quickly — especially 100 pounds or more — your skin doesn't always shrink at the same pace. That’s because:

• Skin loses elasticity over time, especially with age
• The longer you’ve been overweight, the more your skin has stretched
• Collagen production decreases with age and rapid weight changes

Bariatric surgery leads to rapid fat loss, but skin doesn’t contain fat — so it may not tighten as much as the rest of your body changes.

Where Does Loose Skin Usually Show Up?

While every body is different, the most common areas include:

• Abdomen (belly and sides)
• Upper arms
• Inner thighs
• Breasts
• Lower back
• Neck and jawline

You may experience loose skin in just one area — or several. It depends on your weight loss amount, genetics, and how your body responds.

Can You Prevent Loose Skin?

There’s no guaranteed way to prevent loose skin, but some strategies may help reduce its severity:

• Stay hydrated — water helps maintain skin elasticity
• Lose weight steadily (your care team will help pace your loss)
• Get enough protein to support collagen
• Incorporate strength training after surgery (with your doctor’s approval)

These habits support overall health and may improve your skin’s ability to adapt to your new body.

What Are My Options if I Already Have Loose Skin?

If you’re bothered by loose skin after your weight loss, you’re not alone — and there are options:

1. Body Contouring Surgery

• Also called skin removal surgery or panniculectomy
• Removes excess skin for comfort and appearance
• Often done after you’ve maintained your weight loss for 12+ months

2. Compression Garments

• Can reduce discomfort and irritation from skin folds
• Often used during exercise or daily wear

3. Non-Surgical Options

• Skin-tightening treatments (like radiofrequency or ultrasound)
• Collagen-boosting skincare — results vary, but may help mild sagging

Does Insurance Cover Loose Skin Removal?

Sometimes. If loose skin causes medical issues — like rashes, infections, or pain — your insurance may cover part of the removal procedure. Cosmetic skin removal (for appearance only) is usually not covered.

It’s best to talk to your provider and get documentation of any health-related symptoms caused by excess skin.

Loose Skin Doesn’t Mean You Failed

It’s important to remember: loose skin is not a sign of failure.
It’s a sign of progress — of how far you’ve come.

Many patients feel self-conscious about it, but loose skin is common and manageable. You deserve to feel proud of your transformation and comfortable in your body.

Get Support After Surgery

At BASS Bariatric Surgery Center, we’re here to help — whether you're just starting your journey or navigating life after surgery. Our team can help you explore options for loose skin and connect you with specialists if needed.

Need support with post-op changes?

Request a consultation with our team today.