It's important to consult with a healthcare professional for personalized advice regarding your specific situation. That said, I can provide some general information.
Significant weight loss, such as the 194 lbs you've mentioned, can result in loose skin for some individuals. Loose skin occurs when the skin stretches over time due to increased body size and loses its elasticity. Unfortunately, loose skin may not fully tighten on its own, especially after such a substantial weight loss.
Here are some options that individuals who have experienced massive weight loss may explore to address loose skin:
Give it time: Sometimes, loose skin may naturally improve over time, and the skin may gradually adapt to the new body size. However, the degree of improvement varies from person to person.
Strength training and muscle building: Building muscle mass through strength training exercises can help fill out loose skin to some extent. Working with a fitness trainer or physical therapist can help you design a safe and effective workout routine.
Maintain a healthy weight: Staying at a stable and healthy weight can help prevent further stretching of the skin and might allow some tightening over time.
Hydration and nutrition: Adequate hydration and a balanced diet that includes essential nutrients like protein and vitamins may support skin health.
Topical treatments: Some people find that using moisturizers or lotions containing ingredients like hyaluronic acid, retinoids, or collagen can improve the appearance of skin temporarily. However, these treatments may have limited effectiveness for loose skin resulting from significant weight loss.
Medical procedures: In more severe cases of loose skin, medical procedures may be considered, such as:
a. Surgery: Surgical procedures like a tummy tuck (abdominoplasty), arm lift (brachioplasty), or body lift can remove excess skin and provide a more contoured appearance. These surgeries are major procedures and carry potential risks, so it's essential to consult with a board-certified plastic surgeon to discuss the benefits and risks.
b. Non-surgical procedures: Some non-invasive treatments, like laser therapy or radiofrequency, may help stimulate collagen production and tighten the skin to a certain degree. However, their effectiveness for significant loose skin may be limited.
Remember, it's crucial to consult with a healthcare professional, preferably a board-certified plastic surgeon, who can assess your individual situation and provide personalized recommendations based on your health, body, and goals. They can guide you on the most appropriate options and help you make informed decisions about any potential treatments.