I think that face might be photoshopped on the body, but the dude and his weightloss are real… see the news video here: http://www.azfamily.com/health/fitnesspro/stories/KTVKFitnessPro20040726.35327d36.html (use bugmenot.com for a login, the first account worked for me fine.)
Not an easy path to take, and for sure, doctors sell the heck out of that gastric bypass stuff without laying out all the future implications, but, folks. Get healthy on your own through proper diet and exercise. If you count on the medical community to come ‘clean up your mess’ after you’re done destrying it, this is the result. Actually, he has yet another step to go. Plastic surgery will now be used to get the excess skin off of him, tighten up some loose corners as it were, and then, he’s going to be the handsome devil his Momma knew he was all along. Good luck, dude!