Alison Yates

A patient must have realistic expectations going into plastic surgery after massive weight loss. Reeducating people about self-image is a critical component to accepting oneself after weight loss. The plastic surgeon must manage those expectations and explain to the patient her realistic outcome. Self-acceptance is, after all, a state of mind.


One patient told me that a plastic surgeon said to her, “I operate with a scalpel, not a magic wand.” While another patient told me her plastic surgeon said, “Let’s go for a 10!” I wonder about these statements. Does the first plastic surgeon lack the skills to deliver the results that the patient wants? Is the second plastic surgeon just telling the patient what she wants to hear?

A patient must have realistic expectations going into plastic surgery after massive weight loss. The plastic surgeon must manage those expectations and explain to the patient her realistic outcome. This is done by the plastic surgeon pulling tight her excess skin on each area of the body to simulate her results after plastic surgery. As well, showing before and after photos of other patients with similar body types.

Body Image and Media

The media has baited the hook, and the public chases after a trophy that will probably never be had. It is similar to purchasing a winning ticket for the lottery: It is possible but not probable. As a matter of fact, the average five foot four inch tall American female will never be tall and slender. She cannot match the media sales image of “desirable.”

A major global study concluded that current characterizations of beauty are restraining and normally beyond reach. A current contention is that this unrealistic presentation helps to promote social acceptance of discrimination against obese people.

It also sets the bar too high for realistic expectations of what we should strive to look like following post-bariatric plastic surgery.
Plastic Surgery Post Bariatric Surgery

While I was recovering from my body lift I thought deeply about the body image held by many of the patients I’d interacted with online, as well as my own image of my body. What are the emotional implications of plastic surgery post bariatric surgery?
We found our bodies unattractive, or even ugly, after losing 100 pounds or more. We were left with excess sagging skin that could not be exercised or dieted away. Having body image issues about breasts, thighs, and tummy being deflated and sagging is quite understandable. Wanting the sexy body you have always wanted is normal. Body contouring plastic surgery was the only way to restore the body’s normal shape. Read, “Female Body Image and Sexuality.”
Reality Check after Plastic Surgery
The patient must understand that it takes several months to see plastic surgery results. If months have passed and the patient remains unsatisfied, it is a good idea to pull out before and after photos for a reality check. Improvement is more likely than perfection for a massive weight loss person, but it should be significant improvement. Read my article, “18 Insider Tips of Plastic Surgery.”

Body Image after Weight Loss

Reeducating people about self-image is a critical component to accepting oneself after weight loss. This will help lessen the extremes people employ as they try to grab a brass ring that is always beyond reach. Your goal should be one of significant improvement in functional mobility, stability, and aesthetics, rather than perfection.

One patient told me, “I am not looking to be Barbie or Twiggy, but rather a more compressed me if possible. I feel like a barrel even after the plastics I’ve been able to have via my ***. At some point I have to just accept me for me with my bodily flaws; and every scar on my body has meaning to me!”
Self-acceptance is, after all, a state of mind. Self-image is the idea a woman has about her abilities, appearance, and personality.

Umm, Wow, I mean Holy Crap! Shocking. ~ and that sounded bad. It's my first response and you are the first post I looked at at this website. I am in more shock is what I am trying to say... I am floored! Jaw on the ground. Do you realize how unbelievable your weight loss is? I am looking at the blinking cursor and getting fearful that I will have this process eventually. It's unnerving and surreal. I've been to classes for my program, nutritionalists, the APRN and exercise physiologist and psych eval And I am doing what they are requesting. I've been to groups with past GI surgery participants and heard their stories plugging away at the requirements however...
The impact of what you have done is incredible! IT HAS JUST HIT ME. Sorry I didn't mean to yell. You just made it real right at this moment. Your experience has been a teaching moment and I am the student who just got it.
Thanks for your post.

Umm, Wow, I mean Holy Crap! Shocking. ~ and that sounded bad. It's my first response and you are the first post I looked at at this website. I am in more shock is what I am trying to say... I am floored! Jaw on the ground. Do you realize how unbelievable your weight loss is? I am looking at the blinking cursor and getting fearful that I will have this process eventually. It's unnerving and surreal. I've been to classes for my program, nutritionalists, the APRN and exercise physiologist and psych eval And I am doing what they are requesting. I've been to groups with past GI surgery participants and heard their stories plugging away at the requirements however...
The impact of what you have done is incredible! IT HAS JUST HIT ME. Sorry I didn't mean to yell. You just made it real right at this moment. Your experience has been a teaching moment and I am the student who just got it.
Thanks for your post.