Can you help the skin without getting plastic surgery and when do you decide?

I am 6 months post-op have lost 106# and now am at a 3wk platuae. I'm not sure when to start thinking about plastic surgery. I had a open RNY and am not looking forward to anymore surgies. My arms and stomach are so loose, is there anything I can do on my own to help this so I wont need the plastic surgery? Thanks for the help!

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