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As you gain weight, your skin expands to accommodate underlying fat. But in cases of extreme weight loss, such as after bariatric weight loss surgery, patients are often left with unsightly excess skin. Because of its decreased elasticity, this skin tends to hang, sag and give a body a lumpy appearance. According to Dr. Michael Bermant, board-certified plastic surgeon, this is not a problem you can correct with diet or exercise alone. Excess skin must be surgically removed.