Strangely enough, while I'm not usually a proponent of "train wreck" TV, I have to give a certain amount of "props" to "Celebrity Makeover".
Why? Well, put simply, it has served to underscore a problem with weight loss that many people who have never been fat don't consider.
I have lost over 100 pounds over the last two years (although I went back up a bit over the winter, it was nowhere NEAR my pre-diet weight). I have rolls of loose skin on my torso, and "flaps" below my arms from where the skin used to stretch over a much stronger frame. As I'm not likely to ever be able to afford cosmetic surgery, losing weight means dealing with these "battle scars" of my former weight for the remainder of my life...meaning that even if I reach "peak" shape, my body will be rather grotesque due to the consequences of my weight gain from younger years. This is not a future I'm looking forward to, although the health tradeoffs more than compensate.
It might due diet companies some good to offer reduced price "trimming" of excess skin for people with the stick-to-it-iveness to lose the weight. Just a thought.