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Carlynda needs two full knee replacements but doctors won't perform surgery until the skin is gone; after extreme weight loss and marrying the love of her life, Karen wants to start a family, but her excess skin gets in her way.

Skin Tight

Carlynda & Karen

Rafael loses over 500 pounds through diet and exercise, but his excess skin becomes a huge hindrance on his life and progress; Anna loses 330 pounds but her low self-esteem holds her back from being the mother she wants to be.

Rafael & Anna

After being a victim of a crime, Marranda finds solace in food and her weight balloons; she loses the weight, but her skin is a reminder of her trauma; Jannet's excess skin is keeping her from meeting a life partner.

Marranda & Jannet

Tamika finds a partner who makes her feel happy, but she feels uncomfortable due to her excess skin; Emilly blames herself for her son's weight gain, and, now, they both struggle with the pain loose skin has brought into their lives.

Tamika & Emily, Jose

Ronnie and Michael Robinette are thriving, but their extra skin is getting in the way; at 64, Renee's excess skin inhibits her from enjoying her relationship and expressing her true self in public.

Ronnie, Michael & Renee

Autumn wants to make up for lost time with her son, but the excess skin from major weight loss is holding her back; Cody always pretended to be happy when he was 500-lbs, but after losing the weight, he's covered in skin and is sick of pretending.

Autumn & Cody

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

Sal & Rebecca

After losing 275 lbs., Mikki became a fitness fanatic, but the weight loss left her with a lot of sagging skin; Denise's obesity always made her feel invisible, but after losing 200 lbs. the skin still hinders her from fitting in with her family.

Mikki & Denise

Melanie wants to feel normal and date, but her layers of skin are dragging her down; Lauren is so uncomfortable in her excess skin that she can't have the normal life she wants with her boyfriend.

Melanie & Lauren

Shantel needs to get rid of her excess skin to gain the confidence she needs to set a positive example for her daughter; Hope has an obsession with weight loss that could make her too unhealthy to have skin removal surgery.

Shantel & Hope

Linda is hoping skin removal surgery will give her the self-esteem she needs to be an amazing role model to her daughters; Angel hates her extra skin because it's turning her into an introvert around her family.

Angel & Linda

Antonia overcame her food addiction to lose 190lbs, but the extra skin is keeping her from feeling confident and sexy; Natasha lost almost 300lbs after gastric bypass surgery, but now struggles with carrying a lot of saggy excess skin.

Antonia & Natasha

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People who have lost extreme amounts of weight go under extensive surgeries to remove excess skin.

S3 E4 | Shantel & Hope