Brian once weighed over 600 pounds and now has lots of sagging skin; Tanya lost nearly 200 pounds and her excess skin drapes over her new frame.

Ariel is 23 and has already lost 260 pounds, but finds the excess skin less feminine than being obese; spirited Chantae is desperate to enjoy life again after losing 222 pounds.

Twelve Americans take the final step in their inspirational weight-loss journey; never before seen moments and dramatic updates show the results of surgical skin removal.