> “Fifteen years ago, I would never have done a lower body lift on a patient unless they had gastric bypass, a lap band, or a gastric sleeve,” he says. Right,

> “Fifteen years ago, I would never have done a lower body lift on a patient unless they had gastric bypass, a lap band, or a gastric sleeve,” he says. Right, because 15 years ago nobody else lost any weight. GLP-1s and roux-en-Y are literally the only two treatments shown in clinical studies that cause people to lose weight and keep it off indefinitely. Maybe the skin is saggy because there’s nothing under it, maybe not? But at least they won’t have a stroke, heart attack, cancer or type 2. Chemo is going to make you look much worse. The new category of patient is “person who successfully lost weight and kept it off without gastric bypass.” [edit] if you think I’m exaggerating there’s a great study from 2023 that tracked how many people lost more than 5% body weight in a given year. Answer: 1 in 10, skewing mostly to people who had more to lose. If you were morbidly obese your probability of achieving a healthy weight is 1 in 1667 in a year. And if you manage to thread that needle your average weight regain over 5 years is 80%. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2807963 https://jamanetwork.com/journals/jamanetworkopen/fullarticle...