I went from 215 to 170 when I first started this woe. My boobs did not go down in size at all. My tummy didn't start going away until I was about 185, which is when I started doing serious cardio and ab work. I am 5'7", 38 D, pregnant with my first child. tholian is right about a good sports bra for working out. Something that will hold those suckers in place!! As for cosmetic surgery, wait until you are close to goal weight before seriously considering it.