50 Plus and Fabulous Facebook ad: “If you have loose skin after weight loss, read this before…”

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I don't give a f!#k if this upsets you. If your dermatologist told you to give it time and your skin would retract on its own, and you've been waiting two years watching it hang a little worse every month, you were right to stop believing her. Just probably not for the reason you think. I'm a board-certified dermatologist. I've spent 19 years telling women some version of "give it time" and writing the surgeon's referral when it didn't. I've written over 600 of those referrals. And when my own skin started hanging after the shot, I didn't write one for myself. Your skin isn't loose because you lost the weight too fast. In almost every woman over 50 I've ever treated, the cells that pull skin tight had already gone quiet years before the weight came off. And not one of those 600 referrals does a single thing to wake them back up. The crew that does that job lives three layers down. And nobody in my office has ever once mentioned it to a patient. Think about it. Has anyone ever explained to you WHY your skin stopped keeping up? Probably not. We're trained to say "give it time" and write the referral when it doesn't. That's the protocol. Question it and you get a conversation with your department head. Not a thank you. So yeah, I'm writing this on Facebook because I can't say it in the building where somebody signs my paycheck. And I don't care anymore if it costs me. I'm done sending women to a $15,000 surgery that doesn't fix what's actually broken. Yes, I'm the one who sent them. And here's the part nobody wants to hear. Every month those cells stay dormant, they drift further from the signal that used to wake them. They don't die. They drift. I've watched it happen on scans. Women who waited two years, three years, rubbing collagen on top that couldn't get past the surface. By year three the skin on one of my patients had thinned to where her surgeon wouldn't operate. The tissue couldn't hold a suture. She was 61. She'd lost 83 pounds. She'd done everything I'd told her to do. And I was the one who told her to wait. Some of the women I referred came back worse than before. Scars, skin sagging around the scar, and $15,000 lighter. One of them cried in my exam room for twenty minutes, and I sat there with nothing to give her because I'd already given her the only thing I knew. If you don't want to spend another year watching it get worse while everybody tells you to be patient, keep reading. And if you want to know where you are right now, do this tonight. Run your hand slowly from your wrist to your shoulder. Every place your fingers catch and drag, that's where the weave has let go. Nobody is ever going to test this for you. Last Tuesday a 58-year-old woman sat in my office with a shelf of empty jars at home and a surgeon's brochure she'd been carrying in her purse for four months. She asked me if a peptide cream her daughter ordered from Korea was worth trying. Two years ago I would have told her no. And maybe you've tried one, or heard they're all useless on skin like ours. But have you heard the phrase signal peptide? Most women haven't. Keep reading. Fourteen months ago a colleague sat across from me at lunch and pulled up my skin panel on her phone. Elasticity: 31. Four years ago it was 54. I've practiced dermatology for 19 years. I'd been on the shot for eleven months. Down 47 pounds. My face looked gaunt. My arms moved and the skin followed a full second behind. My stomach hung soft and loose where it used to sit flat. "Book a consultation with Peters," she said. She meant the surgeon. "No." So I did what I've been telling women in my office to do for two decades. I gave it time. Collagen powder in my coffee every morning. Retinol every night. The $148 firming cream from a brand I'd been recommending to patients for years. Twelve weeks later I ran my own panel. Up from 31. Two points. Twelve weeks. Everything I'd been selling women for 19 years had a ceiling, and mine was barely off the floor. That left a surgeon's card on my nightstand. For the same procedure I'd just watched go wrong on a woman named Sharon DeLuca. Sharon was my patient for six years. She'd lost 71 pounds on the shot. Her stomach hung like a half-empty bag she couldn't set down. I sent her to a surgeon I trusted. She paid $14,200. Drains for two weeks. A scar from hip to hip. For about a year she looked wonderful. Month 16 the skin along the scar line started softening. Month 22 she was back in my office in the same loose top she'd worn the year before surgery. "It's coming back. How is it coming back. He cut it away." I told her skin sometimes loses elasticity around the scar. What I didn't tell her is what I didn't know yet myself. He cut the slack. He didn't restart what stopped holding it tight. Without that, the slack grew back around the scar. My last note on Sharon says refer back to surgeon for evaluation. Some of the women I sent to surgery are fine. Some are Sharon. And I never knew which one it would be, because I didn't understand the actual problem. My colleague gave me three months. Come back in October. If the slope is the same, you book Peters. So I did everything harder. Double the retinol. Double the powder. A $200 LED mask three times a week. A body cream I had shipped from France. Eight weeks. Another panel. One point. That left me sitting on my bathroom floor at eleven at night surrounded by every jar I owned, holding a card for a surgeon I didn't want to see. That same week Ji-won Park came through town. Ji-won trained with me 15 years ago. She'd just spent three years at a research lab in Seoul. We were at lunch and I was pulling my sleeve down over my arm without thinking about it. She watched me do it. "You know why it hangs," she said. Not a question. "Collagen loss." She put her fork down. "You have plenty of collagen. Every woman over 50 still has collagen." "Go find a microfiber cloth in your kitchen. Then find a piece of cheesecloth." "Same amount of thread. One is packed so tight it acts like a solid surface. The other hangs open." "Your skin is cheesecloth. You don't need more thread. You need the crew to pull the weave tight." It took her 40 seconds. And it undid 19 years of what I thought I knew. Everything I'd ever prescribed. The collagen, the retinol, the creams, the powder. All of it works on the amount. Every single thing is bolted to the same end. Three layers under your skin there's a crew of cells called fibroblasts. They built the weave you were born in. For decades they maintain it. Pull fibers snug. Trim broken thread. Keep the mesh dense enough to snap back when you move. Then around 50 most of them go quiet. Menopause can drop their output by a third in five years. The crew stops weaving. The fabric loosens. Then you lose 50 or 70 pounds on the shot, and 30 years of stretched skin has nothing underneath pulling it back. Every collagen cream in every store hands your skin more thread. Molecules too big to get past the surface. They sit on top like frosting. More collagen means more skin. More loose cloth. More hang. That's why the powder did nothing. The $148 jar did nothing. That's why Sharon's surgeon cut the slack away and watched it grow back. The crew was still asleep underneath the scar. That night I found a study I'd already read. Published in Cosmetics. Clinical-strength peptides on women over 50. Wrinkle depth down 60% in 30 days. Collagen fibers measurably denser on imaging. Elasticity climbing week over week. I'd read it when it came out. Thought it was interesting. Then went back to my office the next morning and handed a woman a $148 jar of frosting. I went looking for what works on the other end. The answer is signal peptides. Not the kind you eat or smear on. Protein fragments small enough to reach the fibroblast layer, carrying one message: there's damage here, start weaving. Your body already sends this signal. It's how your skin closes a cut. The Korean approach is to send the work order every day, on purpose, until the crew is back on shift. Strange sentence for a dermatologist to write. The fix isn't a new ingredient. It's a message. But here's where I got angry. Most peptide creams don't work. I know exactly why now, because I spent a weekend pulling apart every formula I'd ever recommended. The peptides in most creams are paired with carrier molecules too large to clear the barrier. They sit on top. They dry. The signal never arrives. Without ceramides to seal the barrier and something to calm the inflammation keeping fibroblasts sluggish, the work order evaporates before it reaches the crew. I went through my own shelf. The $148 jar. Two conference samples. A tube a patient gave me last spring. Not one listed a peptide concentration. I emailed two of the brands. One never replied. The other said it was proprietary. It took me three nights to find one that had everything. Signal peptides at clinical strength. Ceramides to seal the barrier. Tiger grass to calm the inflammation. Every percentage printed on the front of the jar. I ordered it on a Thursday. Thin, almost clear. Nothing like the thick white paste I'd been handing women for two decades. Two drops. Morning and night. Thirty seconds at the sink. Week 1 I had nothing I could measure. But on Thursday I was rubbing lotion on after a shower and ran my hand up my arm without pulling away. For over a year I'd been avoiding touching the skin that hung from my upper arms. That day I just didn't. Week 3, my foundation stopped catching. The little creases around the mouth where makeup settles by noon and turns into a road map. It went on smooth and stayed. I know that marker from 19 years of reading skin. When the surface holds makeup, the substrate underneath has changed. Week 5, I reached for a mug in the break room and caught my reflection in the window. My arm moved. Just my arm. For over a year my arm and the skin underneath had been two separate things happening at two separate speeds. Week 8 I ran my panel. 46. Up from 34. My colleague closed the screen, opened it, and read it again. In 19 years I've never seen an elasticity score move like that outside of a post-surgical chart. Stomach was the slowest. I'll be honest about that. The skin had been hanging for over a year. By week 10 it stopped swinging free. Lay flat against me and came with me when I moved. Not a 30-year-old stomach. A 55-year-old stomach that finally matched the body I'd worked for. Ji-won started her patients in Seoul in October. Fourteen women, alongside whatever they were already doing. Eleven saw visible firming by week 6. Nine came back at 90 days and she pulled me into a video call to show me the scans because she couldn't believe her own numbers. My score this morning is 52. I haven't grabbed a cardigan on the way out since August. The surgeon's card is still on my nightstand. I didn't change a single thing I eat. Last month I wore a sleeveless dress to my niece's outdoor wedding and didn't think about my arms once. I only noticed later, in the photos, that I'd stopped pulling at my sleeves. What I didn't expect was the hiding stopping. For over a year I'd been picking the booth with the dim lighting. Pulling cardigans over everything. Layering in June. I did it without thinking. The way you hold your stomach in when someone walks behind you. It wasn't the weight I'd lost that I was hiding from. It was what losing it left behind. That was never my body failing. And it isn't yours. It was a crew of cells that nobody in this industry ever told either of us to wake up. Nobody's handing me a surgeon's card anymore. No consultation booked. No date circled. No brochure in my purse. If you've been rubbing collagen on your skin for a year and watching it hang the same every morning, that was never the cream failing you. You were adding thread to a weave nobody was pulling tight. Maybe your skin has only been loose a few months and you've decided to wait. I told women to do that for 19 years. For most of them over 50, it doesn't retract. And every month it doesn't, the crew drifts a little further from the signal. Your skin doesn't warn you when it passes the window. It just gets a little thinner, a little looser, one month at a time, in a mirror you've stopped looking at. A year from now you'll be a year further down that slope. The question is whether anybody's working the right end of it. I'm not telling you to cancel a surgery. If your surgeon has a plan you trust, have that conversation. But a tuck cuts the slack. It doesn't restart the crew. Without the crew, the slack comes back. Ask Sharon. What I use every morning and every night is Olavita Tri-Lift Peptide Cream. Clinical-strength Syn-Coll and Matrixyl 3000, the two signal peptides that reach the fibroblast layer. Syn-Ake, Argireline, and Snap-8 for the neck bands. Tiger grass and ceramides to get past the barrier and hold it there. Developed with a dermatological research institute in Seoul. Every active percentage printed on the jar. Give it 90 days. Your first order is guaranteed for that whole period. If your skin hasn't firmed, if nobody's asked what you're doing, if the mirror looks the same, one email and they refund every cent. They don't ask for the jars back. I buy the 3-jar package. What took years to loosen won't tighten in a week. Three jars is three months, and three months is the guarantee. Here's how you'll know before any panel tells you. Run your hand up your arm tonight. Every place your fingers catch and drag, that's your baseline. By week 4 there'll be less to catch. Check your foundation at noon. If it's still in the creases, the surface hasn't moved yet. When it stops settling, the weave underneath is pulling tight. If you want a number, ask your dermatologist for an elasticity reading and compare it at 90 days. If she doesn't know what you're talking about, find one who does. ~ Dr. Sarah Aldeen Get it below. https://try.olavita.co/tlpc/glp/tight-skin-over-65 P.S. Do the arm test tonight. Wrist to shoulder, slowly. Count the catches. That's what the crew has let go of, and it doesn't get fewer on its own. P.P.S. I have no financial relationship with this company and receive nothing from them. Send this to whoever lost the weight and got left with the skin nobody warned her about. Especially the one who keeps telling you she's fine with it.

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If you have loose skin after weight loss, read this before you book a surgeon ☝️

"We have achieved the extraordinary" - These words echoed through the American Academy of Dermatology Annual Conference as the lead researcher from BioGenesis Labs unveiled what's being called "THE MOST SIGNIFICANT BREAKTHROUGH IN ANTI-AGING SKINCARE."