Kylie has weight loss surgery that leaves her with a life-threatening infection; Anna fears her extra skin makes her look unprofessional.

Sarah turned to food for comfort during her damaging childhood, but her weight loss left her with sagging skin; Roger overcame a challenging life to raise his children, but his weight loss gave him restricting excess skin.

Annette lost over half of her body weight, but her excess skin is a painful reminder of years of overeating; Callisto lost 250 pounds and became a model, but the shame of her loose skin put her passion and marriage on hold.