Can you ever get to your healthy BMI if you have the excess skin etc after weightloss
Contrary to what you often read (usually from people who are not finished losing yet), excess skin and the underlying layer of tissue weighs very little unless it still has fat attached to it. So, yes, unless someone started out VERY large and has a tremendous amount of excess skin, it is possible to have a normal BMI even without plastic surgery.
I carried a LOT of my excess 200 pounds in my belly and when I lost the weight, the extra skin below my waist hung way down onto my thighs and several inches below the pubic area. The plastic surgeon estimated it would be about 12 pounds of excess skin just based on how far down it hung. It was only six pounds!
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
I thought my plastic surgeon was joking when he said the large piece of skin he removed was only 6 pounds since he had estimated double that based on the droop factor. It was kind of discouraging at the time (I had "dreams" of losing 15-20 pounds between my belly and arms, and it was less than 8!), but it also reinforced that all but a couple of pounds of the weight I lost was fat, not skin... So in a way it was also encouraging, of that makes sense.
(It also gives me a frame of reference so that when someone says they lost 20 pounds with a tummy tuck, I know that there was still a fair amount of residual fat. Don't mean that to sound critical, because I still have some residual fat on my thighs, so if I were to get my thighs done, they would probably weigh more than my tummy skin did.)
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.