middle aged woman with sagging excess arm skin after extreme weight loss. front view full right arm holding excess skin

abdomen abdominoplasty aged arm baby background belly birth body brachioplasty bypass caucasian confident contouring cosmetic diet dieting excess extreme female fitness front full gastric health healthy holding human illness isolated lady loose loss make makeover medical middle model mommy moms mum mummy mums natural overweight panniculectomy plastic post right sagging saggy skin success successful surgery tissue treatment tuck tummy unhealthy view weight white woman