BALTIMORE - I walk all the time. I walk here. I walk from my car, which i park the furthest from a store.
Keeping up with Kortnie Schultz is no easy feat these days, she's a lot lighter on her feet after weight loss surgery 19 months ago.
I eat healthier. Obviously i can't eat as much as i did before, but i pick healthier choices.
This is Kortnie now. You could say she's lost a whole person. This is where she started, 265 pounds just days before her gastric bypass.
The worse i felt about myself the easier it was for me to eat.
Even 125 pounds lighter, Kortnie's still not quite content.
It's very noticeable to me and I spend time trying to cover that up, and find clothing that fits so that I don't feel like i am exposing myself to everybody.
Excess skin on her arms, and legs, she says are her trouble spots.
The next step would be to have plastic surgery on the parts that i don't like.
But there are some drawbacks.
I can trade a better shape, but it comes at the cost of a scar.
Dr. Devinder Singh, a plastic surgeon from the University of Maryland Medical Center says massive weight loss typically results in excess skin, and often people don't realize that.
People lose weight from this surgery very rapidly and that can leave deflated skin, and deflated skin can be all over the body.
You can see here how the skin and the arms and the breasts and multiple folds in the abdomen.
Dr. Singh says post bariatric body contouring can really improve a person's quality of life.
It makes a huge difference in people’s lives. They feel a lot better about themselves, rashes are significantly less. They can wear clothes more appropriately.
But it’s not for everyone.
It’s not necessarily based on how much weight you've lost.....how they look...what functional issues they are having....their medical conditions.
Those issues don't apply to Kortnie....but she's determined to finish her journey.
I'll look at that picture and I don't know who that person is.
So for this 34 year old....the body contouring surgery will be cosmetic....and costly.
I know it’s not cheap, and it’s painful, for me personally I want it. I need it, not everybody feels the way I do. I think it’s a personal choice."
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