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Body & Face by Mr Ioannis Goutos

Saggy & Loose Skin

Saggy & Loose Skin

As we age, our skin can naturally lose some of its elasticity, resulting in areas of skin that appear looser or saggy. This appearance can be exaggerated if there has been rapid weight loss, loss of muscle mass or following pregnancy. There are a number of areas of the body that are more prone to developing looser skin including:

  • Face, in particular around the jawline and neck (resulting in ‘jowls’ or a ‘double chin’)
  • Upper arm (sometimes referred to as ‘bingo wings’)
  • Breasts
  • Lower abdomen
  • Lower back and buttocks
  • Thighs

Different people will find that they are prone to saggy skin forming in different areas, depending on their body type. Unfortunately, looser skin can form unsightly ‘flaps’ of excess tissue. This can cause problems with mobility and put restrictions on someone’s activities. Many individuals feel self-conscious about areas of excessive or saggy skin and this can lead to problems with self-esteem and self-confidence and restrict their choice of clothing or activities.

Mr Ioannis Goutos is an experienced plastic surgeon with a special interest in looking after individuals with burns and scars, and performing a wide variety of procedures including body contouring surgery. Mr Goutos places a particular emphasis on creating tailored treatment plans for each individual, addressing their cosmetic goals and both the physical and psychological factors affecting their treatment.

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About this condition

The skin contains special connective tissues, such as collagen and elastin, which help to give the skin its strength and elasticity. This allows it to stretch as we move and then snap back to its original shape. As we age, the production of elastin and collagen within the skin reduces. Exposure to UV light from the sun and environmental pollutants, including smoking, can also reduce the production of these connective tissues in the skin. This means that the overall structure of the skin is not as elastic and with time can appear more loose and saggy.

In individuals who have had dramatic weight loss, or where there has been temporary stretching of the skin such as during pregnancy, the sudden reduction in fat or tissues underneath the skin, means that the skin is not able to come back into its original position. This can result in portions of excess skin and superficial fatty tissues that appear like flaps of saggy skin.

There are a number of treatment options and procedures that can help to reduce the appearance of looser skin. The most appropriate treatment will depend on the individual’s cosmetic goals and the amount and location of excess or saggy skin. In minor symptoms, toning exercises, good hydration and skin moisturisation can help. In more significant cases, laser therapies and/or surgery can be a good option. There are a number of surgical procedures, collectively known as ‘body contouring’, that can be used to remove the excess skin and tissue. The remaining skin is then redraped around the target area to create a smoother and more toned contour. These procedures can also be used in conjunction with liposuction techniques to remove pockets of fat to give a smoother overall result.

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Goutos London - Saggy & Loose Skin


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