Here is the secret of slow weight loss as opposed to rapid weight lost like Biggest Loser or Extreme Weight Loss. When you lose weight too fast, you get saggy skin. Indeed, cosmetic surgery is actually the prize in Extreme Weight Loss (I prefer the cash on the Biggest Loser). When you lose slower, your body adapts and you are less likely to gain the weight back.
Last year, I lost 2.2 lbs. per week and got my health back with no surgery cosmetic or otherwise. The key is slow and steady progress is the best path forward. That is why I celebrate each pound lost just as much as 10 lbs lost. Like the Tortoise, Slow and Steady wins the health race!