I recently did my plastics consult I am 6 months post sleeve and it was very helpful in setting a realistic goal. I thought that I should lose another 20 to be at my goal weight but she said that anymore than 10 and it wouldn't look as healthy. I looked at doing a Tummy Tuck and breast lift in Mexico, Miami, Cuba, but decided to do a consult back at home in Toronto and decided to do it there mainly for the follow up care. So I would suggest doing at least one consult you might be pleasantly surprised.