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When fat tissue is worked and the cells shrink, would not it build sense that your skin would shrink also? Yes and no. In the cases of moderate weight loss, skin will actually shy away to suit the body's new size as a result of of its elasticity due to collagen within the skin. But, collagen will have its limits. Collagen fibers weaken with age and leads to wrinkles. Rapid growth or weight gain additionally outpaces collagen production within the skin causing areas to over-stretch, leading to stretch marks commonly seen in pregnancy and adolescents surfing puberty. In cases of large weight-loss, the skin that has been stretched has lost its collagen strength making it terribly troublesome if not impossible for the additional skin to shrink back to its former shape. Those undergoing gastric bypass surgery or bariatric surgery feel this pain. As the amount of patients surfing weight loss surgery increases, thus do corrective surgeries for the unwanted and uncomfortable skin. This additional skin will truly be a major problem and can truly cause infections, rashes and even back issues.