Had my sleeve gastrectomy on 12/16/14, and have lost 120 pounds in 7 months.

I am jogging, following the diet like crazy, and have gone from being a daily (heavy) drinker to only having two drinks (on my birthday in May) since the surgery.

My doctor is thrilled. All tests read great. I've lost more in 7 months than the doctor predicted I would ever lose (he said -110 was what he thought would be likely for a final loss, but more would be great), and I am still losing.

And while I physically feel pretty good, doing things I couldn't or wouldn't have dreamed of a year ago, I can't help but be uncomfortable in my (saggy) skin. I feel like I have that "used to be a fat guy" too-small head now. I have the droopy stomach skin, etc. I look in the mirror, and I don't really like what I see.

How have you dealt with WLS success by all measures that doesn't register when you see yourself in a mirror?

I relate to everything said in this thread. I never thought I was THAT big until I started looking at side by side pics. Even when people said "wow you have lost a lot" I would always shrug it off like no I haven't.

The saggy skin for my is mostly my gut and a little on my inner thigh. I wear a compression shirt everyday and that helps me and my image issues I have now. I might look into plastics at some point, but I want to wait a couple years until I have settled into my goal weight.

I'm down a little over 160lb in 10 months going from a size 48 to 32/34 waist pants and 4XL to a L/XL shirt. When I started this mentally I battle if I COULD do it. Now mentally I worry about keeping the weight from coming back. I track everything I eat, but will beat myself up over little overages some days.