After much weight loss, you may find yourself with excess skin. Some people find the excess skin a nuisance or unappealing. Weight loss after surgery continues for about 18 to 24 months. After that, your body is ready for additional surgery for excess skin removal. This is typically performed by a plastic surgeon, who will evaluate you and decide with you what areas may need work. This cosmetic surgery may not be covered by insurance. Documentation of health problems related to the excess skin may be required. These may include rashes, back pain, or difficulty maintaining reasonable hygiene.