It's not so much a reward system that I've been using over the past year, but an incentive program

Along the lines of retail therapy - I will go shopping (generally Marhsalls, TJ Maxx, Filenes Basement) and buy an article of clothing one size smaller than I am currently in and try it on regularly - until it fits and can be worn...
I look in the mirror and see no changes, but clothing sizes i do see changes so it keeps me going forward. I can't go any smaller than 1 size down because then it'd be too frustrating - but for the most part, 1 size can be achieved in 2 -3 months.