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.

Julie's globs of excess skin cause her to recoil from the touch of her children; Andrew shed 300-lbs. by spending every spare moment in the gym, but is now engulfed in empty skin that's killing his dream of body-building.