Well I was 289lbs. before I had surgery, I lost 139lbs. in eight months. I never had skin removal but I can honestly say if you focus on getting your PROTEIN in everyday then you want have a lot of sagging skin. Use Peanut Butter, and drink protein shakes the only one that actually taste good is "Muscle Milk" doesn't leave a gritty or after taste. You can buy it from GNC or Health Food Store.