Does poor skin quality always mean results won't last? (photos)

I had a reduction in Feb. Not enough mass or skin were removed. After speaking to my surgeon he was able to go back and relift/reduce and take off more skin. I love how I look now!! I'm a bariatric patient and lost 110lbs. My surgeon has explained to me that although I'm young my skin is "old" and poor quality so this lift may not hold. Do major weight loss patients ever have results that last? Is there anything I can do? No more children for me, my weight is stable and I don't smoke. Any tips?

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