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.

Megan lost weight after being bullied in high school, but is still constantly tormented when she sees her dramatic loose skin in the mirror; Ashley lost 220-lbs. but her excess skin that leaves her in pain.