"It was so far out of control at 688 pounds," said Sal Paradiso.
At 33-years-old and nearly 700 pounds, Paradiso knew his weight had created tremendous health concerns.
"It's more about survival. If I wanted to see 40-years-old, I knew I had to do a drastic turnaround," said Paradiso.
In 2014, Paradiso began a new chapter in life by exercising consistently and changing his diet.
Paradiso said, "It's been basically a rebuilding of myself from top to bottom."
Paradiso was able to lose more than 250 pounds, but hit a roadblock, so he opted for weight loss surgery, which insurance paid for.
"I never thought I would be here at 311 pounds lost it seemed so far away when I started," said Paradiso. "What you're looking at here is excess skin."
Now he has a whole new battle to deal with.
"I probably have 65 to 80 pounds of excess skin," said Paradiso.
Although alarming, Paradiso wanted us to share these pictures so you know what he's going through.
"While I've minimized the pain from being super obese, I've now traded that pain in for just general skin pain all over my body," said Paradiso.
He says the skin causes frequent infections and makes everyday life unbearable.
Paradiso said, "It's a constant battle of creams and lotions to try and battle the irritation. It's always going to be there."
Paradiso says insurance won't cover the enormous cost of having the extra skin removed because it's considered cosmetic. So 10News WTSP went with him to consult a surgeon and get their opinion.
"Thirty-five to 40 pounds from an abdominal specimen alone," said plastic surgeon Bruce Landon.
Other surgeons have told Paradiso it could cost upward of $100,000 to do multiple surgeries. Landon says skin like Paradiso's can be very debilitating.
"It's a set up for excoriation or breakdown of the skin envelope and Sal has to deal with that regularly," said Landon.
"Removing it would allow me to exercise more, would allow me to move about more freely, would allow me to do things that it currently impedes," said Paradiso.
With support locally and from around the world on his Facebook page, Paradiso says he's not giving up.
"These people who message me continue to push me on days where I'm tired or I just don't want to go work out," Paradiso. "The shell of what's left is a constant reminder of a place I never want to be at."
If you want to help Paradiso, click here to help him reach his fundraising goal.