There are so many factors that go into the development of loose skin: heredity, age at time of loss, resistance training (weights) during loss, length of time spent obese, and so much more. It's important to know that there's no "right" way or "wrong" way to lose weight and avoid loose skin, and there really is only so much under our control. The only thing we can do is just work on our loss, and take the added steps of drinking lots of water and including weight training in the process. The rest just is what it is. For some it's an issue and they've lost slowly, for others it's not an issue and they've lost at a really rapid rate. It would make sense that losing slowly would give this organ a chance to adapt along with the decreased size, but apparently that's not really a factor. I've already noted decreased elasticity on my belly skin (my stomach is a LOT smaller than it was, thank God!) and I'm hoping that it rebounds -- they say to give it a year to see what's going to happen -- but if it doesn't, I'd rather have some loose empty skinthat I can camouflage and be healthy, fit and slender than have nice taut skin stretched over an extra 145 pounds of fat. Ya' know??
That said, I know that those who can afford it opt for some surgery and are really happy to have done so. In my case, I'll have to see if there's some kind of payment plan available in order for that to be possible. I'm adopting a wait and see attitude and hoping it's not too bad. Either way, I'll deal with it.
Sheila, I'm glad you provided that link --- that thread pretty much lays it all out there. And I'm really glad you haven't had to deal with this problem!