My doctor told me I would probably need plastics after losing my weight because of my
"advanced age" (I was 44 when I had surgery) bu for many of us that's not the case. Some need it some don't. Genetics is a huge factor in skin elasticity. How fast you lose weight ( love plateaus, they give your skin a chance to shrink up before the next round of weight loss), amount of water you drink - hydrated skin shrinks back, dry skin doesn't, exercise will tone up the muscle underneath making any excess skin look better and then there's muscle tone before surgery, how many times you stretched out and shrunk back your skin with previous diets, stretch marks, if you tend to keloid. All are factors in skin hanging after surgery. I was lucky - with slow weight loss, lots of water and lots of exercise I didn't need to have anything done. I wasn't a bikini model but didn't set out to be. In clothes I looked fine, no huge bulges or bumps and not enough excess to qualify for plastics. I didn't have any hanging skin causing other health problems so I was fortunate there. Not every one needs plastics later or has hanging skin. There's a lot of factors and you won't know till you're at goal which catagory you fall into. Good Luck.
Jen 10+ yrs post op RNY