Hello, Thank you for your question. This is Dr. James Fernau from Pittsburgh, Pennsylvania. In your case, I would recommend a skin tightening procedure called Renuvion to help correct the loose skin that will not go away with diet and exercise alone. Renuvion combines helium plasma with a unique RF (radiofrequency) energy to provide contraction of the underlying tissues and is used under the skin. It is a minimally invasive device that patients are typically very satisfied with. There are both immediate and long-term effects with Renuvion. The effect of the treatment will continue to improve over the course of 6-9 months as the body goes through the healing process. I recommend a consultation with a board-certified plastic surgeon to determine the best plan for your desired results. Thank you and best wishes. Sincerely, James Fernau, MD FACS