I am 40 and had the sleeve done two years ago this month. I lost 125lbs total. For my 40th I did a mommy makeover. It was a tummy tuck, lipo on flanks and upper abd. A breast lift and augmentation. They removed 11 pounds of skin from my stomach. It was a rough two weeks after surgery but I would do it again in a minute. It cost me $14,000 and I will pay it off in a few years. I have never had a flat tummy till now.