With the amount she lost, she would need about a year for it to tighten a little, which would be helped with hydration and proper diet, AND by filling it in with muscle and making sure to lose the rest. This community is going to say all pre fats are 100 percent ruined, but with these kinds of pics the fat in question is still fat. Once you have no extra fat in the loose skin it looks way better. However, it won't ever be totally recovered.