You're doing incredibly well with your weight loss and fitness routine, and at your age, you have a better chance of skin retraction compared to someone older. However, skin elasticity depends on multiple factors, including genetics, how long your skin was stretched, and how much weight you...
Ditto Dr. Nishi's comments. You can absolutely burst your pouch in the first 2 weeks from vomiting/retching. Rupturing the pouch down the road is rare.
For these types of cases, my OB/GYN colleague will join me during the operation to do a quick tubal ligation. Adds maybe five minutes to the operation and does not increase your risk of complications.