Here's a question I got yesterday from an e-mail.
Q: Hi Kevin, I'm glad you are open to answer my questions. Anyway, I want to ask about stretched skin. I went from 240 to 170 pounds in about a year and a half, resulting in highly stretchable skin and left over stretch marks on my belly and chest. Is it possible to be rid of this problem without plastic surgery? I think I finally hit my plateau...
A: Hi Tom,
Great question. First off, I want to congratulate you for losing all that weight. That takes a huge commitment and lots of hard work.
The skin is amazing in what it can do. In a lot of cases like yours surgery is often recommended but before even considering surgery I’ll try to help you fix this without it.
This ‘loose skin’ is particularly common in people who lose a lot of weight quickly because they lose a lot of water and muscle but not much body fat.
Now, you say you went from 240 to 170 lbs in a year and a half. If I’m correct in my math that’s 70 lbs in 18 months which = approximately 3.9 lbs per month.
That’s not drastic weight loss by any means.
Since your rate of weight loss is perfectly normal I suspect the real culprit isn’t actually loose skin but body fat and here’s why.
Think of your muscles for a minute...
...Now, imagine your muscles are like big, red water balloons. And those water balloons are surrounded by fat cells which take on the appearance of cottage cheese when you carry too much body fat. (That’s where the term ‘cottage cheese thighs’ came from)Anyway, when you lose weight it can basically come from the loss of water, muscle and/or fat.
If most of the weight loss comes from fat you would see that layer of cottage cheese getting thinner and smaller and if you lost enough of it (the fat) you would see the water balloon underneath (your muscles).
That’s what we know as looking ‘toned’.
On the other hand, let’s say most of your weight loss came from water and muscle.
Then what would happen is the water balloons would get smaller but the layer of cottage cheese would remain virtually unchanged.
So, when you lose mostly water and muscle you look smaller in your overall appearance but still have the same soft spots and you have the appearance of loose skin. That’s the problem with ‘weight loss’. Simply losing weight isn’t as important as losing body fat and you don’t look the way you really want. And, the latest research shows that excessive body fat poses a more significant risk for cardiovascular disease than body weight.
Now, it is possible to have loose skin that has been stretched beyond its’ capacity to recover, but the skin cells are always shedding and you produce new skin cells all the time. In fact, we lose on average about 1 pound of skin per month even if you don’t see it.
Crazy huh?
So, over time the skin can recover significantly. It just takes a longer time to do so.
Ok, now here’s a way you can determine if this is a body fat issue. Get your body fat tested at a gym/health club in your area.
All you need to do is talk to one of the personal trainers and ask him/her if they would be kind enough to test your body fat at their earliest convenience.
Most trainers at health clubs will be happy to do this at no charge because it’s a chance to meet a potential client (at least that’s what they hope).
A common method of body fat testing is performed with calipers.
The trainer will take a small pinch of skin (it’s painless, but it might tickle a bit) and measure the thickness of it with the calipers. The pinch taken is the body fat underneath the skin that’s being measured.
The common skin fold testing method measures 3 sites on men: the chest (halfway between the nipple and your armpit), the stomach (about 1 inch to the right of your belly button) and the thigh (halfway between the crease at your hip/thigh and your knee).The combined measurements will determine your body fat percent.
Keep in mind that this isn’t exact but it’s a general ideal. It can be off by 3% up or down or more depending on the accuracy of the tester and equipment used.
But, it’s good enough to give you an idea of where you’re at.
An easier way to do this on your own is to purchase a scale that measures your body weight, body fat, water, muscle and bone.
You can pick these up at stores like Costco or just about any sporting goods store.
You’ll have to call around to find out where you can get one in your area.
But, this scale is easy to do.
Program in your age, height and so on and stand on it without any clothes or socks. It sends a beam though your body and measures body fat.
It works on the premise that muscle is more dense that water and fat and the faster the beam travels the less fat you carry.
The problem with these scales is that they aren’t very accurate. They cannot accurately tell the difference between water and fat which means you can get a higher reading of body fat but it can really be water and vice-versa.
So, what I do is add the water and fat numbers together.
If you see the sum of these numbers going down week to week then you can be pretty sure you’re losing body fat.
Also, you need to use these scales the same way every time. No clothes on, use the bathroom first, don’t eat or drink anything.
I find that first thing in the morning is perfect.
And, only take your weight once per week to ensure consistency. Our water levels can fluctuate by as much as 5 lbs per day. Over the course of a week you’ll have a much better idea of what’s happening.
Now, we can put this all together.
If your body fat percent is higher than 16% this is good news. You can make some big changes with the lose skin by focusing on losing body fat.
Not weight per se, but body fat.
When your body fat percent gets under 12% you’ll start to see your abs and get definition in your muscles.
If this is the case (which I suspect is very possible) a lot of your weight loss came from water and muscle. That’s the not so good news.
Your muscles are calorie burners so the more muscle you have the more calories you burn and the leaner and tighter your body gets.
So, emphasizing a strength training routine that’s focused on adding back some lean muscle is a must. The muscle will also fill you in a bit giving your body shape and tone.













