There is kind of a point that it's too late once you've become really fat.

You see people who have lost a lot of weight and the excess skin is deeply disturbing and gross. Maybe less hard to look at than just being fat, but certainly up there with it.

Of course the takeaway should be to not get that fat, or to thin out as soon as possible before the skin fully stretches, or to prepare fatties that they'll need surgery to remove excess skin. Not to pretend everything is all right because it'll get worse before it gets better.