That is not always the case. The age of the individual, the total amount of weight loss, the pace with which the weight is lost and the amount of exercise and muscle toning during the weight-loss period all contribute to the need for reconstructive surgery. On the average, of all of our highly successful patients, 1/3 will not need any intervention, 1/3 will need it but may choose against it due to concerns about the outcome and the cost of reconstructive surgery and 1/3 go ahead with some kind of reconstructive surgery with very good results.