I knew I would need plastics for my stomach for the start. Needed it for the arms and thighs. For the best results, you need to be very close to your healthy body weight range. Like it was said before, a reputable plastic surgeon won't consider you until you stabilized your weight and if you have medical problems related to the excess skin, most insurance companies wouldn't consider it until you are at least 18 months out and stable weight(documented) for at least 6 months. Exercise is a good thing. It will tone your muscles but exerices does not help stretched out skin. If your skin is smooth, healthy looking, and seems to still have good elasticity to it, you may not need to do anything at all. But if it's got stretch marks, kinda thin, doesn't snap back as quickly as it used to, there is a good chance it's going to sag. Since you are young, you haven't had that long I time to get to the point of no return. I was a fat ass for most of my life, my skin gave up a long time ago. If you need a full tummy tuck, that's where they tighten the muscles, it may be a good idea to wait to see if you want kids. If you are just having the excess skin (panniculectomy), having kids may only just give you some stretch marks but may not ruin the whole thing. But I agree, I was more critical of my body as the weight and after the weight came off, then I was when I was 316 lbs. I guess I was so used to my body like that and had accepted my body like that. I was out of my comfort zone. I'm finally, after almost 3 years, having less body issues and becoming more accepting of how I look now. It's a process and it takes some time. Keep up the good work and congratulations on the weight loss so far! Sue
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