I have an appointment next week with a plastic surgeon. I had Roux en Y in 2009. I am 5'0 and started at 299 and I'm down to 161 so far. I'm wanting to have a body lift and breast augmentation. I'm so tired on being in two different sizes from top to bottom. It's frustrating to work out 6 days a week and the extra skin still hangs on. It's so aggravating.