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Will I need cosmetic surgery due to the dramatic weight loss?

That is a distinct possibility. Your skin will have stretched to accommodate the excess weight: once you lose vast amounts of weight this skin does not return to its original elasticity, but remains in the same state. What this means is large, sagging folds which can rub against one another leading to skin rashes and infections. These folds are also unsightly which causes patients to wear loose, baggy clothing to disguise that fact. One of the first things many patients do after surgery is to buy new clothes, to accommodate their new found weight loss, but feel embarrassed at other people seeing these loose folds of skin. Fat is also lost, but there are likely to be some stubborn deposits that cannot be shifted by diet and exercise alone. Cosmetic surgery techniques such as body contouring can help.