Objective: Consider the recurrence of heavy skin indications and their relationship to the severity of the disease in the Pakistani population. Methods: 110 outdoor patients visiting the Lahore General Hospital, Lahore were examined during a period from May 2017 to April 2018. BMI was determined by estimating heaviness in kilograms isolated by square of height in meters. The skin appearance of tall patients with Class I (CI) [BMI >30-35.7 kg/m2] and Class II (CII) [BMI 36-41 kg/m2] disease was recorded. Results: The mean age was 41.85±8.61 years while the mean BMI was 34.52±3.52 kg/m2. A critical contrast for diabetes mellitus, striae and acanthosis nigricans was observed among the CI and CII clusters (p<0.06). BMI showed a significant positive relationship with diabetes (r=0.283, p=0.006) and rash (r=0.316, p=0.002), while diabetes mellitus appeared with acanthosis nigricans (r=0.375; p=0.001) and skin tags (r=0.219, p=0.028). Rash appeared with miliaria (r=0.211, p=0.037) and varicose vein with xanthomas (r=0.281, p=0.006). Conclusion: Acanthosis nigricans and rashes are more often manifested by heaviness. Keywords: Obesity, cutaneous manifestations.