Do I need surgery or do I have other options?

I used to be about 280 lbs... I lost the weight then started lifting. I've been within 20 lbs of this weight for about a year now and wondering if I can continue losing it or if all that is left is loose skin that needs to be surgically removed. I really don't want to have muscle cut or a big nasty scar but getting leaner is proven very difficult.

Congratulations on your weight loss. Usually when an individual loses a large amount of weight they are left with an abdominal pannus (overhanging skin). The only way to manage this excess is by surgical removal. In many cases the muscle does not need to be addressed. I recommend a consultation with a Plastic Surgeon in your area.

Todd B. Koch, MD, FACS
Todd B. Koch, MD, FACS
6315 Sheridan DrBuffaloNY14221US

Todd B. Koch, MD, FACS

6315 Sheridan Dr, Buffalo, NY,
UNITED STATES, 14221

Most surgeons will not operate on a patient until their weight is stable with the diet and exercise regimen that patient is on. Even if not at your 'ideal' weight, many are understanding and willing to schedule you for body contouring as long as your BMI is under that surgeon's maximum. A big 'nasty' scar is always possible with body contour procedures after presumed massive weight loss and you should anticipate that as well as potential healing complications. Muscle cutting is never done with body contouring. Best to invest in a consultation or two with board certified plastic surgeons and realize that you should anticipate the need for revisions so its imperative you know what your surgeon's policy is before scheduling with that surgeon.

Curtis S. F. Wong, MD
Curtis S. F. Wong, MD
1950 Rosaline AveReddingCA96001US

Curtis S. F. Wong, MD

1950 Rosaline Ave, Redding, CA,
UNITED STATES, 96001