Tammy began partying heavily and turning to alcohol to feel happy. She would party with her friends every day and consume unhealthy food, worsening her condition.

Tammy reached a low point in her life after the COVID-19 pandemic. She suffered from carbon monoxide poisoning, leading to pneumonia and sepsis. Fortunately, Tammy survived this life-threatening situation. Recognizing her mistakes, she decided to improve her lifestyle. In 2021, Tammy ed a rehab center in Ohio, where she naturally lost a significant amount of weight. She also underwent bariatric surgery, which helped accelerate her weight loss progress. In early 2025, Tammy announced that she had lost 500 pounds. She also mentioned that her next goal was to undergo skin removal surgery.

What Caused The Delay In Tammy's Skin Removal Surgery?

Tammy Was A Heavy Vape

As Tammy continued to lose weight, she began to open up about her struggle with loose skin.

She expressed that her excess skin was impeding her daily life and holding her back. In 1000-Lb Sisters season 6, Tammy was optimistic about advancing in her physical transformation by getting skin removal surgery. She visited a renowned surgeon in Pennsylvania and talked about her fitness goals with him. Unfortunately, the doctor didn't deliver positive news. He informed Tammy that she would need to wait before being approved for a skin removal procedure.

The doctor explained the true reason why he couldn't clear Tammy for skin removal surgery immediately. He stated, "Tammy is not currently a candidate for skin removal surgery because she's only about 13 or 14 months out from her weight loss surgery." The doctor informed Tammy that she would need to wait at least six months to a year before he could give approval for the skin removal procedure. Later, Tammy revisited the topic but encountered another setback. The doctor advised Tammy to stop vaping and improve her nutrition before moving forward with any treatment.

Tammy Is Finally Eligible For Skin Removal Surgery

Tammy's Doctor Approved Her For Surgery

In 1000-Lb Sisters season 7, Tammy finally received the news she had been eagerly waiting for months. Her doctor, Eric Smith, approved her for skin removal surgery, a significant milestone in her life. In May 2025, TLC posted a clip featuring the moment Tammy learned the happy news. The clip showed Tammy meeting with her doctor, who expressed his pleasure in her weight loss progress and praised her dedication to achieving a healthier lifestyle.

"You've shown me that you can focus on your nutrition, and because of that, I am giving you the green light."

Tammy looked extremely happy to hear the news. She said, "He approved, what? You gave me all that big spiel about not having enough protein, but yet, you were gonna let me go up there. Okay, cool, thanks." Tammy expressed relief that she could now move on to the next phase of her physical transformation and have the excess skin removed. When she shared the update with her family, her brother, Chris Combs, and sister-in-law, Brittany Combs, genuinely shared her joy. Tammy's body language showed that she couldn't wait to undergo the procedure.

Tammy Has Been Avoiding Sharing Her Latest Photos Online

Tammy Has Been Taking Long Breaks from Social Media

It appears that Tammy underwent the surgery shortly after receiving approval from her doctor.

She seems to have already had skin removal surgery, as indicated by her absence from Instagram and TikTok for extended periods. Tammy used to share a variety of content on her social media, such as life updates, food blogs, and pictures with her friends. However, she has become much quieter lately. Although the 1000-Lb Sisters cast member still posts on TikTok and Instagram, most of her content is older and doesn't seem to reflect her current physical appearance.

Tammy has likely had the skin removal procedure done. She may be choosing to remain silent about it due to a non-disclosure agreement with the network. Tammy may want to wait until the episode that features her skin removal surgery airs before sharing the results. It'll be interesting to see how long it takes for fans to see Tammy's new physical appearance. Having excess skin was one of Tammy's biggest insecurities, so many 1000-Lb Sisters viewers are eager to see her progress to the next stage of her fitness journey and achieve her goals.

Tammy's Cameo Reveals Her Face & Neck Without Any Excess Skin

Tammy Doesn't Have Sagging Skin Under Her Chin

While Tammy isn't sharing many videos on social media, she is recording personalized videos for fans on Cameo. Her appearance on her Cameo suggests that she has undergone skin removal, at least around her upper body. Throughout the months, Tammy has fulfilled several new Cameo requests, some of which are featured on her profile. Some of Tammy's latest Cameos show her looking much leaner than before, with a defined jawline and taut face, showing no sagging skin under her chin. Tammy's cameos also showcase a smaller neck and tighter cheeks, emphasizing her cheekbones.

Since Tammy's cameos only show her face, it's difficult to determine if she has had a full-body skin removal yet. It's possible that she is gradually undergoing the procedure, having loose skin removed from various parts of her body. She may have had the skin removed from her upper body but not yet from her lower body, or she may have completed the entire procedure and is waiting for the show to catch up. Perhaps Tammy wants 1000-Lb Sisters viewers to witness her complete physical transformation in future episodes.

1000-Lb Sisters season 7 airs on Tuesday nights at 9 p.m. EDT on TLC.

Source: TLC/Instagram, Tammy Slaton/Cameo