Saggy Skin After Weight Loss: What To Do
28 Jan 2026 · 3 min
Single-speaker podcast (Dr. Charles Mok) explaining options for managing loose or sagging skin after weight loss across body areas. Covers face (volume restoration with fillers, “magic lift,” threads, Ultherapy/HIFU, 4D facial laser, Thermage, surgical facelift), limbs (biostimulatory fillers like Radiesse/calcium hydroxyapatite and energy-based tightening for arms/knees/inner arms), and abdomen (tummy tuck as the definitive solution; limited results from non-surgical energy devices). Emphasizes treatment depends on area and severity and that surgical referral is occasionally appropriate.
Chapters
Foreign. Question we get is what do I do with my skin after I lose weight? We're seeing a lot of people getting really invested in losing weight and becoming healthier. And the concern is some saggy skin. So we talk about that in different body areas because different body areas have different options. Let's first talk about the face. If you lose fat, there's a possibility you'll lose. You'll have had some fat in your face, you lose some fat in your face. The best way to tighten the skin is, is actually just restoring the volume that's someplace that you want to have volume at versus say maybe on your stomach or something. So we restore the volume with filler. We do something called the magic lift to lift things up. And if that's not enough, we do something called threads. And threads are put in with a basically a needle and a syringe and the threads slide down, grab the gels and pull it up. So threads are a good option. These are lifting threads to lift the mid and lower face and neck. The next step after that would be Ultherapy which is an ultrasound procedure. There are other options as well. We have something called 4D facial, it's a laser and we've used thermage in the past. But Ultherapy is most suitable for the mid and lower face after weight loss. And that's a procedure uses high intensity focused ultrasound that cause an injury in the area. Where we would do a facelift to cause the face to lift. And then lastly would be a surgical facelift. Now let's talk about like the arms or over the knees where there's some baby skin. There's a few options for that as well. One is using something to increase the thickness of the skin. And we do something called bio stimulation with a bone paste or something called Radiesse which the chemical name is calcium hydroxyapetate. This is thinned out. We call it hyper diluted in place underneath the skin and it causes bio stimulation when the skin gets thicker which causes it to tighten up. We might combine that with all therapy. High intensity focused ultrasound as well. Get tightening of crepey skin. Same thing's done over the knees or in the inner arms. Now for the abdomen, somebody might have lost weight and have some laxities of abdominal skin. The classic solution for that is a tummy tuck. That's a surgery. And for the person that doesn't want a tummy tuck, sometimes there are no options and you just have to live with it. And sometimes we could do some energy based procedures such as ultherapy or a laser based procedure or radio frequency based procedure to get some lifting, just don't see great results. In the abdomen, there's some crepey skin around the navel works decent, but when the skin is lax under some hanging skin, really surgery is the best option. So going from minor crepey skin loss of volume in your face to a saggy abdomen, there's different options based on an evaluation with your medical provider and the options that we have available or where we can refer you to. In some cases we refer you to our surgical department to do a tummy tuck or a facelift. In many cases we can do it non surgical options which might include some filler to restore volume or to thicken the skin, some energy based devices to cause lifting of the tissues, and even threads that can lift things up mechanically. Thank you very much.