I had my surgery in December of 2006 and it's the best thing I ever did for myself. I've lost 90 lbs but I'm 52 years old and have had a hysterectomy. My skin looks like a starving elephant! Everything sags but it's definitely worth it. I have 45 pounds to go and then it's nip/tuck time. Nivea Skin Firming Lotion helps a lot and my gynecologist increased my estrogen intake. I've resigned myself to the fact that I will have to have everything lifted and tucked. Dr. Ortiz has a surgeon that he recommeds and I can't wait! Have your surgery. It's totally worth it.