I've lost a total of 70 (both pre- and post- surgery). I just started to see it a little. It didn't help that I didn't lose a pant size until I'd lost 50#. So, now, every month I take pictures (front and side in a full-lenth mirror wearing roughly the same thing) and measurements (bust, chest, waist, hips, both thighs, both calves, both upper arms, and neck). I still really don't see it in the pictures, but I can see where it's coming off in the measurements. For example, I saw that I lost a LOT in my legs and hips in month one, but almost nothing in my waist - which is why I wasn't really losing clothing sizes. Month 2, though, I could see that I lost several inches in my waist. So, while my brain still looks in the mirror or at a picture and says "You look the same", my brain can look at the measurements and logically know that isn't true. It has helped me a lot.