I made this whole list of rewards for myself when I hit certain milestones, but somehow I hardly ever followed through on any of them. I think part of it is what you said - the weight loss is a reward in and of itself. Another part is that I feel much less guilty about treating myself in general, even without hitting a goal. If a dress looks cute on me, I'm going to buy it, even if I don't need it, because I've earned the right to wear a cute dress.
The one thing I am sticking to, though the time frame has changed, is that I will be getting a tattoo. Originally, I wanted to do it when I hit onederland. Now I want to wait until I have a flat stomach and can get the tattoo right on my hip.
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