middle aged woman with sagging excess arm skin after extreme weight loss. back view holding excess skin.

abdomen abdominoplasty aged arm baby back background belly birth body brachioplasty bypass caucasian confident contouring cosmetic diet dieting exces excess extreme female fitness 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 sagging saggy skin success successful surgery tissue treatment tuck tummy unhealthy view weight white woman