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As Allergan begins to court the teenage market, it seems as though no one is talking about the white elephant in the room; the loose skin left behind after lapband surgery.

Dr. O’Toole explains to his patients that after losing a large amount of weight loose skin is inevitable. Most patients are concerned with loose skin on the arms, abdomen, and thighs. Dr. O’Toole explains to patients that the only way to remove the loose skin is with surgery. The procedures are brachioplasty (arm lift)abdominoplasty (tummy tuck), and thighplasty (thigh lift). For teenagers, the same procedures are indicated.

Some may believe that because the patient is young that the skin will snap back. For large amounts of weight, this is not possible. Parents should be told that the loose skin is not just a possibility but a probability. They should be prepared for the added expenses of post weight loss plastic surgery.

According to The Los Angeles Times, with sales of its Lap-Band weight-loss device declining, Allergan Inc. has its eyes on a new set of potential customers — overweight teenagers. The Irvine company has asked the Food and Drug Administration to approve Lap-Band surgeries for adolescents as young as 14, and is conducting clinical trials on teenage patients, said Cathy Taylor, a company spokeswoman.

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