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.