My sister had it and lost over 100#. I will repeat what everyone else said. Your skin has nowhere to go buy down. She is only 50 and she sags like a 100 year old lady. She looks awful. I don't care how much you think you are going to exercise you will not ever get rid of excess skin. She had a face and neck lift and she still sags. I say before you even begin to schedule surgery, try exercising and eating right now. See how it goes.