Flabbiness of the skin. Causes, symptoms and treatment of sagging skin

Lightness in the body, a beautiful reflection in the mirror, a great mood - this is how we want to see ourselves after losing weight. But sometimes you have to face unforeseen difficulties: saggy, loose skin, stretch marks, prolapse of internal organs. This, in turn, leads to disruption of the gastrointestinal tract. Often such imperfections occur after too rapid weight loss, when the skin simply does not have time to react to the changes.

Causes of loose skin:

  • sudden weight loss;
  • pregnancy;
  • unhealthy lifestyle: insufficient physical activity and unbalanced diet;
  • aging: loss of skin tone in people over 45 years of age.

A cosmetologist knows how to tighten the skin after losing weight and restore lightness and attractiveness to the body.

How to get rid of sagging skin on the face and neck?

To effectively solve the problem of sagging skin, an integrated approach is important - proper nutrition, maintaining water balance, and physical activity.

If we want to restore the tone of the face and neck area, the most effective way is cosmetic procedures. They stimulate the production of collagen and elastin - the main proteins responsible for skin elasticity.

One of the most effective methods will be Thermage radiofrequency thermolifting using the Thermacool device. Cells of the dermis (the main layer of the skin) - fibroblasts - are activated under the influence of radiofrequency pulses and begin to produce skin elasticity fibers - collagen and elastin. As a result, the skin shrinks within two months. To achieve the effect, 1-2 procedures every 2-3 years are enough.

Another popular method is thread lifting, an alternative to plastic surgery. Using special threads made of polydioxanone or polylactic acid with notches or cones, you can tighten the oval of the face, remove the double chin, reduce nasolabial folds and molar bags.


Of course, therapeutic measures for skin correction and regeneration are prescribed exclusively on an individual basis and are determined by diagnostic results. In some cases, eliminating the pathology that causes skin laxity (and it can be asymptomatic or latent, hidden) naturally restores the desired characteristics. In other situations, physiotherapy, water-thermal procedures, normalization of sleep patterns, exercise, nutrition, and daily fluid intake are effective. Sometimes the only truly effective treatment is plastic surgery.

In cosmetology, many methods of instrumental correction have been developed, incl. various peelings, ultrasound and microcurrent stimulating techniques, ozone and mesotherapy, laser biorevitalization, hyaluronic acid therapy and many others.

An even larger number of “true”, “tested over thousands of years”, “secret” and other methods can be found on the Internet and commercial advertising. However, if possible, you should maintain common sense and caution: this kind of remedy, even if it really helped your friends, in a specific individual case may be categorically contraindicated and, when used, cause serious damage, and not only to the skin.

Therefore, the smartest step is to consult your doctor first.

How to remove sagging skin on the stomach after losing weight

Depending on the number of kilograms lost, correction methods will differ. For small excess skin, we recommend the Ultraformer ultrasonic skin lifting procedure. It produces focused ultrasonic waves and, due to targeted heating of certain layers of the skin to 60–70 degrees, stimulates the production of new collagen fibers and active skin regeneration. As a result, we see a long-term effect of skin reduction and tightening, which is formed gradually over two months.

If tens of kilograms have been lost as a result of weight loss, then our clinic performs abdominoplasty - a plastic surgery aimed at excision of excess skin and restoration of the aesthetic proportions of the abdomen.

How to tighten sagging body skin? We ask the experts

What causes body skin to lose elasticity? What to do if it is stretched due to sudden weight loss or has not recovered after childbirth? Will a moisturizer help or should we bring in the heavy artillery? Dermatologists-cosmetologists answer.

How is body skin different from facial skin?

Dermatologist-cosmetologist Alexandra Gaunt: Firstly, the skin of the body is denser and has fewer sebaceous glands. There cannot be facial wrinkles on it. Secondly, subcutaneous fatty tissue (hereinafter referred to as SFA) is distributed differently on the face and body. Evenly on the face, especially at a young age. And on the stomach and hips it is more pronounced in order to protect the female body from bruises and sudden temperature changes, as this is important for bearing a child.

Cosmetologist, dermatovenerologist Natalia Raevskaya: To the above I will add that the face is almost always open, it is more influenced by environmental factors. But the body more often gets an excess tan.

Subcutaneous fat tends to accumulate fluid, so that before menstruation the body swells to a greater extent. Because of this, sagging skin becomes more pronounced.

Does the body age as well as the face?

Natalia Raevskaya: In general, yes, we just look at the face much more carefully. And it may seem that all the signs of aging are concentrated there. Although, for example, the skin in the neck area is thinner and ages even faster.

Which areas lose elasticity first?

Alexandra Gaunt: Loose skin does not necessarily sag, it is dry and rough to the touch. First of all, the loss of elasticity is noticeable on the inner surface of the thigh and shoulder. As a rule, after 35-40 years, folds appear in the armpits, above the bra. At the same time, a woman’s abs and triceps can be pumped up. Yes, muscles act as a frame and set the relief, but the skin itself loses its elasticity due to a decrease in the synthesis of estrogen hormones.

When loss of turgor is caused by a metabolic disorder (for example, poor absorption of iron or loss of protein due to an unbalanced diet), patients complain of dryness and peeling of the legs, elbows and outer upper arms. By the way, excessively dry elbows are a sign of endocrinological vomiting. ​​​​​​​

How not to confuse loose skin with dehydrated skin?

Alexandra Gaunt: Yes, they have similarities - both skins are rough and, most likely, flaky. Therefore, you need to focus on turgor. Do a test: pinch yourself on the inner thigh and evaluate the tissue resistance. The area you grabbed will be like dough - thick or liquid consistency. If the “dough” is tight and dense, then you are simply worried about dryness. If it’s liquid and the clamp is not elastic, then it’s time to start strengthening turgor.

Is cellulite also sagging?

Alexandra Gaunt: No. Dermatologists agree that cellulite is panniculosis - inflammation of the connective tissue around subcutaneous fat cells. For many reasons (age, hormonal levels, etc.) metabolic processes between them are disrupted. There is an accumulation of decay products and fluid stagnation. As a result, capillaries are compressed, blood circulation and lymph flow are disrupted.

Is it possible to shrink stretched skin and restore its former elasticity?

Alexandra Gaunt: The ability of the skin to stretch and contract is described by such a characteristic as elasticity. Before menopause, this indicator is reversible , that is, it can return to its original state. Elastin and collagen fibers, which are synthesized by fibroblasts, are responsible for this.

The skin on its own, without outside help, can shrink quite strongly. If a young woman gains 20 kilograms during pregnancy (up to 30 is considered normal), then with an appropriate diet, physical activity and normal restoration of hormonal levels, her body will return to its original state. Skin tone and turgor as well.

Is it possible to increase skin turgor and elasticity on your own?

Alexandra Gaunt: The goal is to tone the walls of blood vessels, accelerate blood circulation and lymph flow. I love and practice home massage with a silicone mitten myself. Whether the mitten is cheap or expensive makes no difference. You can use a washcloth.

A simple work routine: first take a contrast shower. If it’s unusual for the first time, start with your feet and gradually move up. Then, without leaving the shower, do a massage. The movements should be upward - from the feet to the hips. On the stomach - clockwise. Five minutes of massage once a day is enough. After a shower, I advise you not to dry your skin with a towel, but immediately apply oil. Complex oils are very good: with magnesium, components of marine origin. When they come into contact with water, they emulsify and are perfectly absorbed. Then you can apply the nourishing cream directly to dry areas - knees, elbows, feet, neck, décolleté.

For connective tissues, it is important that the body has a sufficient amount of vitamin D, B vitamins, magnesium, zinc, and Omega-3. If the analysis confirms a deficiency of these microelements, it is worth getting them from dietary supplements.

Natalia Raevskaya: Silicone jars for massage are a great thing. After showering, follow the lymphatic drainage lines from bottom to top.

The best products for elasticity: editor's choice

  • Julia's choice: Repair Cellular Ultimate Forming Body Cream, Dr. Babor
  • Choice of Lena, Nastya, Christina: Tonic oil, Clarins

  • Lena's choice: Cellular Performance Body Firming Emulsion, Sensai

  • Christina's choice: Eveline thermoactive cream-gel
  • Lena's choice: bust and décolleté skin care product Intensive Firming Bust Compound, Sisley
  • Masha’s choice: Body and breast firming cream Sesnatura, Sesderma
  • Nastya’s choice: SPA-shaping body cream Shaping Vitamin ACE Body Cream, Dr. Babor

  • Lena's choice: Biologique Recherche body massage glove

  • Julia’s choice: dry massage brush with boar bristles, medium hardness, Alize
  • Christina's Pick: The Body Shop Dry Massage Brush

Does regular body moisturizer improve firmness? Or do you need a special one?

Natalia Raevskaya: Most creams do not penetrate the basement membrane. Therefore, talking about the lifting effect of an external product can be very conditional. Of course, you need to moisturize your skin, just don’t expect it to increase its elasticity.

This is partly facilitated by body products with a warming effect (red pepper extract) and cooling of tissues (menthol). Thermal influence strengthens the walls of blood vessels, disperses lymph stagnation, and therefore reduces the manifestations of sagging.

Do I need a separate cream for the décolleté?

Alexandra Gaunt: Let’s address point No. 1 – there are fewer sebaceous glands in the neck and décolleté area. Plus, these areas are often not covered by clothing. The sun is shining on them, the wind is blowing. At least your face is protected by a layer of makeup, but theirs is not.

Personally, I have combination skin, so for my face I choose products with an emulsion texture. For the neck and décolleté – always nourishing and rich. In summer it is a cream with SPF.

Can a cosmetologist help? Should I prescribe any procedures?

Alexandra Gaunt: If flabbiness is a consequence of thyroid dysfunction, any procedures will be useless until the hormonal levels change. It is important that a specialist makes the correct diagnosis.

Methods of increasing elasticity proven over the years:

  • Manual massage and algae-based provide drainage and nourish the skin with microelements. Even budget wraps are effective, although the method of processing the marine components matters. Hydrogenated algae is more expensive, but it does not sting or smell.
  • Endosphere massage is the most physiological of the hardware ones, since it does not involve currents or wave radiation, and there are almost no contraindications. Due to the rotation of the silicone balls built into the handpiece, the skin warms up. The result is a powerful lymphatic drainage effect without pain or bruising.

Endosphere device

  • Mesotherapy - I haven’t had a single patient who said: “I didn’t see the effect.”
    Because it’s like custom tailoring: a cocktail is mixed for a specific task. Remove dryness, shrink skin, remove excess water, reduce local fat deposits, improve blood circulation. There are also ready-made cocktails, for example, the BodyFirm drug fights specifically against sagging. With the help of mesotherapy, you can work on problem areas or the whole body: there are so-called main cocktails, they are pierced along the spine, starting from the back of the head to the tailbone, and improve microcirculation in general (they contain vasodilating components). Then they are injected along the inner surface of the arms and legs to stimulate peripheral blood circulation.

Natalia Raevskaya: Before addressing the quality of the skin and its turgor, you need to stabilize your weight. If you are still losing weight, the effect of the procedures will not be as pronounced: the fatty acids will shrink, and the skin tone will decrease.

If your weight has fixed, or you have another type of problem - age-related sagging, I recommend the following:

  • Microneedle RF lifting Infini - radio pulses accelerate collagen synthesis, and micropunctures stimulate regenerative processes in the dermis. The result is skin shrinkage.
  • Radiofrequency lifting Accent - in addition to skin tightening, it reduces fat deposits. The device works at a deeper level than Infini: it affects all three layers of the skin and the subcutaneous complex. And the vacuum-roller nozzle additionally stimulates lymph flow and microcirculation.

Our experts:

Alexandra Gaunt

Dermatologist-cosmetologist with 20 years of experience, specialist in contouring and medical aesthetics. Has an international degree of Doctor of Medicine (MD).


Natalia Raevskaya

Natalia is the chief physician of preventive medicine in the Gen87 network of clinics, a cosmetologist, and a dermatovenerologist. Trainer in laser and injection techniques. Speaker at international conferences in the field of cosmetology.

Skin tightening on arms, hips, knees

Sagging skin on the arms and legs confuses many women. After 35 years, the aging process becomes more noticeable when the skin of the hands loses moisture and tone. How to improve the quality of skin in problem areas and effectively tighten it?

In these areas, excellent long-term results are achieved by a set of Ultraformer ultrasonic lifting procedures and injection of collagen stimulants (Radies or Sculptra) - one procedure every 6 months. These are injections of calcium hydroxyapatite or polylactic acid, which stimulate the production of new collagen for a long time. Thanks to this, the skin thickens and its quality improves.

Benefits of using Sculptra

Sculptra is produced in France by Sanofi Aventis. Sold in powder form in a sterile bottle.
Before use, it is diluted with saline solution. Sculptra is a preparation based on artificially synthesized polylactic acid. It also contains carboxymethylcellulose and mannitol.

Sculptra as a drug is characterized by good biocompatibility. Compared to hyaluronic acid, it is retained in tissues for a long time. Previously, polylactide was used for a long time and successfully as an absorbable suture material.

The effect appears immediately , as the Sculptra filler fills the intercellular space in the area of ​​folds and wrinkles, adding lost volume in the injection area. Lifting and rejuvenation will increase over the next six months , because the drug increases the formation of collagen and elastin fibers inside the skin. Tissue tightness lasts for 2 years or more.

Skin tightening methods in the décolleté area

For those who want to have a beautiful seductive neckline, our clinic offers a method of combining laser resurfacing using the ESTETICA 2.1 device with PRP Regenlab:

  1. The erbium laser used painlessly renews the skin, smoothes out the network of wrinkles and creases, and evens out the color of the skin. A distinctive feature of this type of laser is the minimum rehabilitation period (4–7 days), the effect is visible after just a few days. Cosmetologist Elena Mikhailovna Bakulina: I recommend a course of 3–4 procedures with an interval of 1–1.5 months
  2. Plasma therapy PRP Regenlab. This is the type of plasma therapy that doctors chose to work in our clinic because it is a scientifically proven, safe and effective technique. The world's only patented Cellular Matrix tube with plasma enriched with platelets and hyaluronic acid is used. During therapy, up to 90% of viable platelets are retained. All this gives a pronounced effect of regeneration, rejuvenation and radiance of the skin.

Flabbiness of the body after losing weight is not a death sentence! In the arsenal of cosmetologists at the Real Trans Hair clinic, effective methods of skin tightening have been developed over many years. If you want to solve this problem, come to our clinic for beauty and health!

How does the procedure work?

This is an injection rejuvenation technique. The skin is prepared - cleaned of impurities, makeup, disinfected, anesthetized.
The drug is injected under the skin or into the deep layers of the dermis. In the area of ​​natural folds and deep wrinkles, the product is administered linearly. To eliminate crow's feet, a fan injection technique is chosen. If there are many wrinkles over the entire surface, a mesh is formed under the skin, choosing mutually perpendicular directions for insertion. The lines along which the injections will be made are marked on the skin with a cosmetic marker. To ensure good distribution of the substance in the injection area, perform light massaging movements with your hands. At the end of the procedure, the skin is again treated with an antiseptic.

Homemade masks: Top 14 best

To restore skin elasticity and beauty, it is not necessary to visit beauty salons to perform expensive procedures. You can make masks for sagging facial skin at home.

Cottage cheese and yolk . For the mask you need to take 100 grams of full-fat cottage cheese and 1 yolk. Mix the ingredients well and apply to clean, steamed skin. Leave for half an hour, refreshing from time to time with rubbing movements. This mask not only nourishes and moisturizes well, but has a whitening effect.

A mask with cottage cheese will tighten and whiten the skin

Yeast, honey and milk . Ingredients: yeast (50g), honey (1 teaspoon), milk (1 tablespoon). When making a mask, the milk should be slightly warmed. Mix the ingredients well and apply to previously cleansed skin of the face and neck. You can put cling film on top and leave for 15 minutes. This mask has a miraculous effect. After just a few uses, you can notice how wrinkles are smoothed out and the oval of the face is tightened. In addition, the mask has an anti-inflammatory effect.

Persimmon and sour cream . For the recipe you will need a large, ripe persimmon (1 piece) and a tablespoon of rich sour cream. Grate the persimmon on a fine grater and mix with sour cream. Apply the mask to your face and leave for 30 minutes. This is a unique recipe, as persimmon contains a large amount of vitamin A. The mask promotes tissue regeneration, smoothes wrinkles and improves complexion.

Wheat sprouts, olive oil and lemon . Ingredients: crushed captive sprouts (2 tablespoons), olive oil (1 teaspoon), juice and pulp of half a lemon. Grind the sprouts and turn them into a paste, add olive oil and lemon pulp. Mix everything well and apply to face for 20 minutes. This mask provides a powerful dose of vitamin E. The skin quickly tightens, wrinkles are smoothed out, and the complexion becomes better.

Oatmeal, sour cream and cucumber . Ingredients: oatmeal (2 tablespoons), full-fat sour cream (1 tablespoon), half a cucumber. Grind the oatmeal well in a blender or coffee grinder, add sour cream and grated cucumber. Mix everything and apply with rubbing movements onto clean and well-steamed skin. This mask fills cells with nutrients and perfectly moisturizes. The recipe is suitable for daily use.

Apple, honey and aloe . For the recipe you will need: sour apple (1 pc.), honey (1 teaspoon), aloe (1 leaf). Peel the apple and aloe and puree it in a blender. Add honey and stir. Apply the mask to the face and neck for 15-20 minutes. Apple and honey will saturate the skin with vitamins, and aloe will get rid of wrinkles and tighten the shape of the face. This moisturizing mask is suitable for frequent use.

Honey and aloe are a storehouse of vitamins for mature skin

Banana, onion, olive oil . You need to take half a banana and an onion, and 1 tablespoon of olive oil. spoon. Chop banana and onion well, add oil. Apply the mask to your face using rubbing movements and leave for 20 minutes. Then rinse with warm water. The mask perfectly fights skin sagging and age spots, eliminates minor inflammations.

Orange, kiwi, kefir . You need to take half the fruits, and 3 tablespoons of kefir. spoons. Grind the fruits well, add kefir. Apply the resulting mixture to a cleansed face and leave for 10 minutes. This is a supervitamin mask that tightens the skin of the face and smoothes out wrinkles. Kefir can be replaced with yogurt or low-fat yogurt.

Burdock oil, yolk . Ingredients (oil 1 tbsp), yolk (2 pcs.). Unlike other recipes, the yolk must be boiled and mashed well. Add burdock oil and stir. Apply the paste onto the face using rubbing movements. Keep for 20 minutes and rinse with warm water. This mask contains a large number of beneficial substances and is excellent for mature, sagging skin of the face and neck.

Carrots, cottage cheese, parsley . Ingredients: boiled carrots (50g), fat cottage cheese (1 tablespoon), parsley (small bunch). Grind carrots and parsley in a blender until pureed, add cottage cheese, mix well. Apply to cleansed facial skin and leave for half an hour.

Cocoa powder, flaxseed oil . Both components should be taken in a tablespoon. Lightly moisten cocoa with boiling water to form a thick paste. Add flaxseed oil and mix well. Apply the resulting mass evenly to the face, avoiding the area under the eyes. Lightly massage the skin. You need to wash off the mask thoroughly using a sponge. After 2-3 applications you can notice significant improvements in the condition of the skin.

Chamomile, sour cream and vitamin A . Grind two tablespoons of dry herb thoroughly until it becomes flour. Add a tablespoon of sour cream and 20 drops of vitamin A solution in oil. Mix the ingredients well and apply to the skin with massaging movements. Beneficial substances penetrate the skin well, sour cream softens, and vitamin A starts the processes of regeneration and rejuvenation.

Green mask . Ingredients: dill and parsley (a small bunch each), cabbage (1 large juicy leaf), kefir (2 tablespoons). Grind the greens and cabbage in a blender, add kefir. Apply the resulting paste to your face and leave for 15 minutes. This mask greatly refreshes tired skin and saturates it with vitamins.

Grapefruit, flour, fish oil . Ingredients: half a grapefruit, wheat flour (1 tablespoon), fish oil (1 teaspoon), mix grapefruit pulp with the remaining ingredients until smooth. Apply to facial skin and leave for 20 minutes. The mask has an unpleasant odor, but it perfectly prevents aging and fading of the skin.

Wheat germ contains vitamin E, which is essential for the skin.

All the masks presented are great for mature, aging skin. To achieve maximum effect, you need to use them regularly.

Elastin: the source of skin elasticity

Tissue laxity is partly due to loss of elasticity. The reason is the destruction of elastin present in the dermis. Elastin is one of the few components of the skin that does not naturally renew itself in adulthood. At the moment of birth, our body has a certain supply of elastin. Over the years, its amount gradually decreases, in particular under the influence of UV rays, which irreversibly destroy elastin fibers. It is elastin that allows the skin to adapt to the natural movements made by the body every day, preventing its stretching and deformation. To restore firmness to the body, it is necessary to restore skin elasticity.

Fight facial sagging with massage

Fortunately, there are effective ways to tighten your face that you can do yourself at home. In order to see the effect, you will have to work for at least 2-3 weeks every day, but these methods are definitely safe and can provide smoother skin and a more radiant complexion in the long term.

A quick massage is one of the best ways to prevent sagging skin. A light massage tones the muscles and provides enhanced support to the upper layers of the skin. This enhanced support tightens the skin and ultimately eliminates sagging. Many salons offer expensive massages, but why pay big money for something you can do yourself? For massage, you can use natural products that you probably have in the kitchen. Try coconut or olive oil because they contain beneficial vitamins and minerals like vitamin E, polyphenols and phytosterols. We also recommend trying squalane.

Video “do-it-yourself lifting effect”

  1. First, warm up your palms.
  2. Place your palms on the “notch” in the temple area and press them tightly.
  3. Stay in this position to warm your temples.
  4. When you feel that they are warm enough, begin to perform circular movements with your palms up towards the top of your head.

Full Face Awakening Video

  1. Also press your palms against the “notch” in the temple area.
  2. Lower your head, feel the tension in your temples.
  3. Gray whiskey.
  4. Slowly move in a circular motion towards your hairline.
  5. Repeat this exercise two to three times.

And at the intensive “Face Oval and Chin” you will learn what other techniques you can use to tighten your face, smooth out wrinkles and remove jowls.

Effect duration

The effect is observed within 1.5 – 2 years , for some longer. The more serious the problem and the older the patient, the more often courses of therapy with Sculptra may be necessary.


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Ignatieva E.A. Doctor - cosmetologist

Recommendations before the procedure

Before the procedure, protection from ultraviolet radiation, refusal of chemical and mechanical peelings, laser procedures applies both to the period before and after the procedure. Before the session, it is worth stopping substances that affect blood clotting a couple of days.

Recommendations after the procedure

After the procedure, you should not exercise. Dilatation of skin blood vessels due to exposure to hot water, sun, and steam should be avoided. There is no need to apply strong pressure to the treated areas of the skin or rub. For the first day, it is better not to wash your face under running water.

The specialists of our cosmetology clinic carry out the procedure at a high quality level. order a call back or make an appointment at the branches of our clinic, which are located in the Frunzenskaya and Sukharevskaya areas. A cosmetologist will provide you with a free consultation on treatment and care for your facial skin.


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You can ask questions that interest you and get answers from competent specialists at our clinic.

Please contact us, we will be happy to help you!

To receive a free consultation, please use the special form.

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