Mikki became a fitness fanatic, but the weight loss left her with a lot of sagging skin. Denise's sagging skin still hinders her from fitting in with her outgoing family.

Rebecca lost weight to be more active with her young son, but the plan backfired because she is now trapped in her excess skin. After his dad died, Sal lost a lot of weight, but with all the excess skin, he fears he will never become a dad.

Autumn's excess skin from her major weight loss holds her back from quality time with her son. Cody always pretended to be happy when he was 500 lbs, but after losing the weight, he is covered in skin and is sick of pretending.