we are/were ALMOST surgery-stat twins.
i was 46 when i had my sleeve in 2018, i'm 5'2" and weighed 235 lbs 2 weeks before surgery...so a BMI of 43. Yours is 44.3, so yeah, ALMOST-twins!
I got to goal around 7 months, and yes i has saggy skin. For me though, i had little underlying fat so it wasn't so much rolly-looking, but more like wrinkled-lumpy-bedsheet-looking.
what fixed it? plastic surgery (i had a tummy tuck, arm lift and breast lift). my butt is pretty saggy still, and "hangs low" lol, but i can live with it. also the vertical skin lines on my neck gives away how old i am now but i can also live with it...sort of, ha!
(in the link to collage below, the last two pics in the middle row are me 2 and 3 months before plastics. the last row is entirely post-plastics. i keep meaning to update this collage with more recent ones, as im 4.5+ years post-wls, but im lazy!
i am still basically the same weight just not as defined anymore...i don't exercise nearly as much as i did back then.)