I haven't had any physical issues with loose skin, as far as rashes etc. And I was pretty certain that I would never even consider skin removal surgery, since it's expensive, painful and I was never in this for the perfect body anyway. Mostly don't mind the belly; its the only part of my body I recognize. And I even took a video of my underarm skin flapping in the wind on my road trip and sent it to my cousin (who had the sleeve), cuz it's ridiculous honestly kind of hysterical. But my legs are really starting to bug me. I have these skinny legs and saggy knees. Like, who has saggy knees?!? They look like they are 100's of years old. What a dumb thing to get hung up on. And yet here I am.