I am 90 pounds down and still have a bit to go, but already I can see the need for some cosmetic work. Flabby arms that will not tone up even with working out consistantly and I cant explain it but my thighs are very saggy... still dimpled with some cellulite, but just seem to hang like elephant skin. Honestly when I look in the mirror, Im thrilled with the weight loss, but my whole body needs some work, but scared to DEATH of the pain and scars of a whole body lift. I always swore I would just be happy with the weight loss.. but I am embarrassed of my thighs.. so I only wear capri's and skirts with my swimsuit... and try never to wear sleeveless anything unless Im forced to take off my coverup with the swimsuit etc. Its almost like I was hiding myself in clothes because of the fat... and now Im hiding myself in just smaller sizes because of saggy skin... I guess I just need the reassurance that when I do reach and maintain my goal it will be okay to do this next step and not be as horrific and I think it is.