This is a personal and individual decision.

1. Weight loss will stabilise (plateau) at about 12- 18 months.
2. Excess skin is a real condition that can lead to skin irritation; pain; inflammation and infection.
3. Surgery can be performed to removes excess skin . there are various operations for different parts of the body
4. An abdominoplasty ( tummy tuck) is the most commonest procedure to remove excess skin and tissue from the lower abdomen.
5. Brachioplasty is an operation to remove excess skin and tissue from the upper arms.
6. Breast surgery can also be performed if there is significant drooping of the breasts.
7. Multiple operations can be performed and these are best performed by a Plastic/cosmetic surgeon.It may be appropriate in patients who are obese to consider weight loss surgery first before undergoing skin reduction surgery.