I did not have any skin removal yet, if you have a large amount of weight to lose you will have loose skin. Exercise for health, not to reduce skin issues because it does nothing for skin...there is no muscle in skin.
I have no hanging pannus..that is luck and body composition, and also the fact that I got down to the low end of body fat for my age. That is it. I didn’t spend time in the gym (though I am active), use creams or any of the other bill of goods people sell people on to make them think they’ll avoid it.
Unfortunately, if someone carries weight around the Middle, odds are high they will have a Pannus, the only thing that will really solve that, is compression wear to disguise it or surgery.
I’ve attached a pic of my loose skin. You can see standing it is not too bad (it is crepey and wrinkled, but I’m also 50). Lying down, it slides down...that is where you can really see the excess skin, and that it really is just skin.