As in any large weightloss there is going to be loose skin. The band is ONLY a tool to help you on your journey. Regularly going to the gym will help the loose skin issue but not completely. Just like a deflated balloon doesn't go back to normal neither will your body but working out will really help. I have lost 80 lbs in the last year, go to the gym all the time and have had pretty god luck on the skin issue. Sure it isn't perfect and I know it never will be unless I have some surgery. Don't. be scared. Recovery is quick, you'll love the results, and youll feel GREAT. All you need to do is follow the rules. Tons of people DON'T follow the rules and that's why they problems or complain about not losing the weight. YOU WILL DO GREAT!!!!