I'm 47, was sleeved 8 months ago and I'm nearly at goal. I had less to lose than you. I expect to level out at a 90-100 pound loss. I did this firstly to improve my health, but it would be a lie to say I'm not thrilled to look better as well. I look good and feel confident in my clothes now. That said, the loose skin is not my favorite result, but one I fully expected and accept as a part of the process. I have pretty significant "bat wings" and loose skin all over, really. I won't wear shorts in public. I do not have a panus that hangs down, (though there will always be a pooch there). I'll likely not have surgery to rid myself of the pooch or loose skin as it's not causing me a medical issue (wouldn't be covered by insurance), and it is an expensive and very painful procedure. This is something that we all have to come to terms with as WLS patients. It's one of the things you sign up for along with the post-op regimen and a LIFETIME of after care requiring multiple supplements, high protein, small meals and exercise to name a few. You have to be ready for the trade off and you have to be ready to change to be successful long term.

Loose skin after a big weight loss is gonna happen if you loose it dieting or with WLS. I was 270 and lost 146 pounds. Yes I have upper arm bat wings, pouchy tummy, droopy wrinkled butt, upper thighs saggy. I've worked out lifted weights and done alot of different exercising but nothing is gonna shrink that loose skin back to normal. Only plastic surgery will. I was obese all my life till after my WLS. I am now 50 years old. Does it bother me? Yes some but I still wear sleeveless or cap sleeve shirts and wear shorts and wear a swimsuit at the gym. I never let my obesity stop me when I was 270 pounds and don't let my saggy skin stop me now at a normal weight. Ya only got one life so live it! I looked into plastic surgery and to do 2 combo surgeries would be over $11,000 at a my WLS program discount rate! I would need three combo surgeries so that is like $33,000 plus!! No way! Plus the complications and drains scared me so at this time I will just live with the droopy saggy skin.
Good luck on your WLS!

I am 3 years out, not quite to goal yet and when I get there will have lost 226 pounds. I have major hanging skin on my upper arms, thighs, and stomcah, with a smaller problem on my behind. I also have two hernia's that were not fixed when I was sleeved. My surgeon said they were big enough that no internal organs were being hurt, so he left them. Once all the weight is off, I will have the surgery to repair those and it will create a tummy tuck. So covered by insurance. Since I routinely have sores under the "apron", insurance would cover the tummy tuck with or without the hernias. Yes, a lot of excess skin such as I have does cause issues with personal cleanliness as it's harder to get everything clean and dry. That's why so many of us have those sores. But it is manageable, you just have to take the time and watch for them.

As for the rest of my excess skin, my goal is to have it removed because it's causing clothing issues. My waist is a size 16, but my thighs make that an impossible size to wear unless it's a pair of really wide leg pants. In skirts, the thighs giggle so much it's embarassing. Same thing with the upper arms. Unless the top has some stretch to it, the size 18 that fits my body won't fit my upper arms and the way they move when I do anything is embarassing. So for me it's not just a physical thing, it's also an emotional need to get the excess off. The more weight I lose the more disporpotionate my body is becoming.

On the flip side, I am thrilled with how I feel with the weight coming off. My mobility is back and my health vastly improved. So if I never get the excess skin removed, it's still well worth it to me!

You have a lot less to lose than me and everyone is different. You may or may not have a lot of hanging skin. But in the end you will be healthier, and that's what's important.