I'm glad she took responsibility for her life. I hope her loose skin isn't causing problems for her.   If I were a judge and this was brought as a case of child abuse to my court, I'd make the parents their daughter for the cost of skin removal surgery when she turned 18. If the daughter chose to spend the money on the surgery would be up to her. I'd also make the parents attend mandatory nutrition classes, fitness classes, parenting classes and fine them up to full extent of the law. This is after they serve time in prison or on probation.