When Sarah Beth Daken was in her twenties, she started to gain weight.
By the time she was in her thirties, she weighed more than 300 pounds. Frustrated and worried about her health, she had lap band surgery in 2008.
"One of the pitfalls of having that much weight is that when you lose it, you have all this excess skin," she said.
Daken chose to have plastic surgery known as body contouring. It is a procedure where doctors remove excess skin, sometimes up to 20 pounds of it, from people who have lost a lot of body fat.
Although the surgery can help with most areas of the body, doctors say the tummy, and upper arms seems to be the main concern. Another common area is the breasts, as well as the buttock and back region.
As with all surgeries there are risks. It can take weeks to heal and if a patient has other complications, like diabetes or heart disease, they may not qualify to have the surgery.
The procedure is not covered by insurance, but many patients who have transformed themselves due to weight loss don't think they're complete until their bodies reflect the way they feel.