Skin removal
Look I know Tammy is probably insecure with the lose skin that she has I get that but at some point she's gonna have to put on her big girl panties and let the plastic surgeon take a look at her and tell her what she needs to do In order to qualify like what the plastic surgeon told Chris to do. If she continues to act like a toddler and shut down when she gets denied and not letting the plastic surgeon look at her she will never be approved for surgery