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Twelve Americans take the final step in their weight-loss journey; dramatic updates show the results of surgical skin removal.

Skin Tight

Cutting Deep

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Ariel is 23 and has already lost 260 pounds, but finds the excess skin less feminine than being obese; spirited Chantae is desperate to enjoy life again after losing 222 pounds.

Ariel and Chantae

Brian once weighed over 600 pounds and now has lots of sagging skin; Tanya lost nearly 200 pounds and her excess skin drapes over her new frame.

Brian and Tanya

Lindsey lost 140 pounds, but her sagging skin keeps her athletic dreams out of reach; Derek wants to pass the Police Academy physical, but his excess skin prevents him from training.

Lindsey and Derek

Melissa lost 235 pounds, but her confidence is still low because of her excess skin; Jeff has lost 300 pounds, but continues to hide himself from the world.

Melissa and Jeff

Megan feels physically and mentally trapped with excess skin under her clothes; Yalena's extreme weight loss counts for nothing unless she sheds her excess skin.

Megan and Yalena

Lauana lost 170-lbs to find her tiny frame swamped by excess skin; after losing over 200-lbs, Tim's skin gets in the way of being a great dad.

Lauana and Tim

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People who have lost extreme amounts of weight go under extensive surgeries to remove excess skin.

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