i lost 105 lbs and i did need ps. i had a tummy tuck on 5/11...my insurance did cover part of it. i knew i would have hanging skin in this area as this is where i carried all my weight. i have horrible batwings....im planning on nsurgery on that prob in january, that will all be self pay. the ps i have told me the only other area he would rec is the removal of some back fat i have. i hear of some ppl who do not need ps, but i wasnt one of them. it all depends on genetics, how stretched the skin is, your age and the length of time you have been overweight.