I have lost a lot of weight in the past year (80lbs) and have been struggling with the extra skin. it has been slowly improving as i have worked on maintaining my weight for 4 months, but i was wondering if there are other things i should be doing before

Weight loss / skin: Congrats on that accomplishment. There was no ending word in your question but I think you are trying to avoid surgery. Please consult your primary care doctor. He/she will assess your needs and make a referral if appropriate to a plastic surgeon. You can get that docs opinion also and then decide. No matter what, keep up the good work. peace and good heatlh.