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After losing 360 pounds on his own, man seeks help for extreme loose skin

After a big transformation, his health journey isn't quite over yet.
/ Source: TODAY

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Cole Prochaska once weighed so much that he reached the maximum number his scale could display: 585 pounds.

He’s sure he was even heavier than that in 2021 after years of overeating, so he can only estimate his incredible weight loss since then. Prochaska has shed about 360 pounds, all without surgery or weight-loss drugs, he says.

But his health journey isn’t over yet as he struggles with the excess skin left over from his transformation.

Cole Prochaska before and after
Cole Prochaska before his weight loss and after. Publicly sharing the photo of his loose skin was “probably one of the most difficult things I’ve done in a while,” he says.Courtesy Cole Prochaska

“I’m trapped,” Prochaska, 39, a store manager who lives in St. Matthews, South Carolina, tells

“I’ve lost all this weight and I have muscles, but if I take my shirt off, I’m still self-conscious about all the loose skin. I’ve got loose skin on my legs, so if I try to go running, it’s hard to run. … I have to wear a pant size bigger than I should because I’ve got my skin tucked into my pants from my stomach.”

As he turned to GoFundMe to raise money for surgery to remove the extra skin, Prochaska decided to post a shirtless photo of himself to show the extent of the problem. He called it “probably one of the most difficult things I’ve done in a while.”

“I didn’t want to do it,” he recalls. “But I was like, you know what? I need to show everybody all the skin I have and how far I’ve come and just embrace it. And that’s what I did.”

Weight gain: 'I felt pretty bad'

Prochaska was always a big kid who just kept getting bigger as he became an adult.

He blames overeating and a sedentary lifestyle, recalling that he regularly went through bags of chips and could drink a 12-pack of soda cans in a day. At fast food restaurants, he would order five cheeseburgers in a sitting and could eat a whole pizza “easy.” He estimates he was eating 5,000 calories a day.

Exercise was impossible because Prochaska was too out of breath to do anything.

“I felt pretty bad,” Prochaska recalls.

“I would always put on a happy exterior because that’s what a lot of big people do. But I was a pretty lonely person. You don’t want to go to anything because you don’t want to have to worry about fitting in the chairs and worry about having to walk very far, what you’re going to wear.”

He had never walked on a beach or attended a pool party without a shirt on. Going to the water park made him cringe.

Cole Prochaska
As his weight grew, Prochaska always wore a shirt when he went to the beach.Courtesy Cole Prochaska

The breaking point came when a seven-year relationship was coming to an end.

“I knew she had lost respect for me because I was just a really big person and didn’t do anything, and I wasn’t going anywhere in life where I needed to go,” Prochaska says.

“I was trying to save the relationship. I didn’t save the relationship, but I saved myself.”

Weight-loss success

His first step was just to start walking — a couple of blocks at first, then a little farther every day.

He started to eat healthier. He cut out all sweets, snacks and chips; replaced the sugary drinks with water; started to count calories and began eating a high-protein diet.

It didn’t take long for Prochaska to start to feel better, so he decided to keep going. He joined a gym and started doing body weight exercises and then lifting heavy weights.

Cole Prochaska before and after
Prochaska's transformation included lifting heavy weights.Courtesy Cole Prochaska

Today, Prochaska says he walks 10,000 steps “every day, no matter what,” whether on a treadmill or outside. His exercise routine also includes lifting weights three times a week at the gym.

He eats a lot of lean beef, ground turkey, chicken and beans. He skips pasta, but still enjoys bread and other carbs in moderation. His goal is to eat 2,000 to 2,500 calories a day. He says he avoids chips and sweets because he’s still addicted to them.

“It was just me making up my mind that this is it, it’s going to be a life change,” he says. “I feel so great.”

Prochaska now weighs about 226 pounds.

Surgery for loose skin

But there’s still the matter of the extra skin. Prochaska recently flew to California — his first flight ever — to meet a plastic surgeon he connected with online.

Skin removal surgery is a specialized subset of cosmetic surgery and involves a range of body contouring procedures, according to the American Board of Cosmetic Surgery.

It can help patients feel better and exercise with greater ease, though several weeks off may be required to recover and there may be visible scars, the organization notes.

The plan is to remove excess skin from Prochaska’s upper body first, including his chest and arms, then go from there — possibly three to five surgeries over two years, Prochaska says. He's not sure yet how much the procedures will cost.

“I just want to keep helping inspire as many people as possible to overcome whatever it is that they’re battling, but definitely people who are trying to lose weight,” he notes.

“You’re never too far gone. It’s never too late. You can always come back.”