Ian sees Dr Pixie about some side effects he has suffered after slimming down. He weighed 27 stone and his rapid decline in weight has left him with a lot of excess skin on his chest and abdomen. The saggy situation is affecting his sex life because he has a large flap of skin and fat covering his penis. Dr Pixie refers him to a plastic surgeon because the skin has stretched too far to heal itself and will need to be removed. The surgeon removes skin and fat from his chest and abdominal area in a major operation lasting over three hours. During the operation about a stone in weight is removed from Ian’s body. Once healed he’s thrilled with the results and says he can now go running and swimming, activities that were previously physically impossible.