Well I know that skin is elastic but it won't go back to its tight look when we were thin. Plastic surgery is probably the only way to go. I was 190 lbs with my 2nd pregnancy and i stretched my stomach out really good and probably will need a tummy tuck and breast lift(with breast implants ) But we will see when I get to my goal. If I'm happy then oh well the money will be spent else where! Oh plus you can use creams but your skin stretches from the inside out and putting creams on will just make your skin on the outside soft(believe me I've tried!)