Hello everyone! Following the facebook comments on some Dcomedieta articles, often critical of people who show massive weight loss (more than 40 kilos), I realized that at the basis of many of these same criticisms there is a misunderstanding about the difference between surgery. for obesity (bariatric surgery: all those cases in which people rely on the surgeon for weight loss, with various techniques and, only in cases of minor overweight, liposuction: this means that those who have to lose a lot of weight cannot do it with liposuction alone) and removal of excess skin (including abdominoplasty).

Let me clarify the difference once and for all:
– Bariatric surgery and removal of excess skin are NOT the same thing .
People with severe obesity can choose two ways to lose weight:
– diet and physical activity
– surgery.
Unfortunately, bariatric surgery is not for everyone: certain health parameters must be respected, and there is also a specific overweight range. In this blog I have often documented cases of people who have lost weight on their diet because they could NOT have bariatric surgery. For example here. To the guy in the article I linked to, he was refused bariatric surgery: he was too fat and in poor health for the surgery to be safe.
In any case, we speak of bariatric surgery as a surgical system to lose weight , which can be an alternative to diet, but which nine times out of ten is accompanied by the diet, especially after (in some cases even before).

What is skin removal instead?
It is a surgical treatment that is done AFTER weight loss . Generally it also leads to weight loss (sometimes ten, sometimes twenty kilos), but that weight is almost all of skin and little subcutaneous fatty tissue.
Imagine that in a person who weighs more than a hundred pounds, after a weight loss, a skin that has lost elasticity, often becoming stretched due to excessive overweight, and that after the diet, literally “falls”, wrinkling. This creates skin folds, which must be removed with an aesthetic intervention. 

So, if you hear that a person after the diet has turned to the plastic surgeon to remove the skin, we are talking about this second case, that is, a cosmetic surgery after weight loss. Unfortunately, it is an expensive operation, so those who lose a lot of weight can spend even years with sagging skin, waiting to be able to scrape together the pennies to have the operation. Or he decides to keep his skin like that. But in any case, it doesn’t mean that they have lost weight thanks to the surgeon. 
Often they are people who have lost weight thanks to the diet and many sacrifices!