Ali Vincent, the first female winner of "The Biggest Loser," recently appeared on "The Today Show" to discuss her new book, "Believe It, Be It." In the book, Ali details how she lost her dreams somewhere along the way and had to fight to get back her confidence, as well as lose the weight.

Many people struggle with weight loss - not just losing the weight in the first place but maintaining it after. Further, many struggle with loose skin after significant weight loss that cannot be helped by exercise. It's a true blow to the self esteem after you've worked so hard to lose the weight and then wind up with sagging skin that you can't tighten up.



Even amongst those who've lost a little weight, there can often be a certain area or two that won't tighten up. For these people, there are some excellent options in laser lipolysis such as SmartLipo or SlimLipo which are good for spot fat reduction and minor skin tightening.

Those who've lost a significant amount of weight may need something more drastic such as a tummy tuck or a combination of tummy tuck and liposuction. More drastic still is a body lift which removes fat and excess skin from a greater portion of the body. There are also options for other areas besides the stomach with arm lift and thigh lift.

Often people need assistance getting started on their weight loss path and for these people there is medical help available. Medical weight loss can be a great motivator and provide the willpower many need to stay on track with their healthy plans. Also, gastric bypass surgery is available for people who are severely obese so that they can lose the weight quickly, often because of complications such as diabetes or heart disease.