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Hi, Rose. I've already had my VSG done almost 2 weeks ago. I leaarned that the best way to combat the excessive skin is to begin exercising. More importantly strength training. Once you begin to build your muscles (like heavy resistance bands), there will be lesser skin to deal with in the end. My arms are very flabby but I began using the bands and I can honestly sat that my triceps are more solid than ever and I've noticed that my arms are smaller. Hope this helps. Good luck.