last september i had gastric bypass surgery, and my body form has changed dramatically. as i've lost the weight, and exercised, (fairly faithfully for the last 3 months) my muscle layers under the very lose skin are firming up nicely, but the loose skin looks and feels awful. i'm planning on having the skin on my upper arms, stomach, hips and thighs and buttocks removed, possibly next year, a breast reduction, but no implants though, i'm a mammographer, and i realize how difficult it is to get good breast images. i also want a face/jaw lift so i look as good as i feel inside. the gastric bypass surgery has saved my life, without it, i really believe that i would have died from the co-morbidities at an early age. as a very heavy woman for years the taunts, judgements and plain rude comments and stares from many ignorant people have been hurtful. i have the opportunity now to change my external self to the always there internal self, so i'll go for it.