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Body dysmorphia before VSG?



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Hello. I'm getting sleeved tomorrow. I've read about body dysmorphia post-op, but wondering if anyone has had this before surgery. I wasn't always heavy, but put on about 100lbs over the last 15 years. However in my head I'm still the 120lb person I was. Don't get me wrong, I am aware of health issues, emotional stress, and physical and mental limitations that my larger size has imposed on me, but in my skin I think I am still the same. I occasionally will catch a view of myself in a mirror and be shocked by what I see and my denial kicks into overdrive. Is this a thing with anyone else? What happened to your self image post-op? Thank you all!

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I also didn't have a clue as to how "big" I had gotten. I knew how much I weighed but when I looked into the mirror I didn't see a 190+ pound woman. It wasn't until I compared my 190+ pound picture to my now 140 pound picture that it sunk in just how big I was. Be sure to take pre-op pictures and also post op pictures along your journey. You will regret it if you don't. I didn't (and regret it) but I had one picture of myself from several years ago that I can compare my before to after.

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Yes definitely! I would have this picture in my head of what I looked like (was also not overweight until basically adult hood). Then I would see a picture, usually like a candid picture and be like omg that’s what I look like?! It was very shocking. And disheartening.

Im only 3.5 weeks post op, so I have no idea what in terms of my dysmorphia will be like post op.

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I've almost always had it no matter how big or small I am. When I saw pictures of myself when I weighed 350+ lbs, I was shocked. Now in the 150s, I'm often surprised, too. I'll see a photo of myself taken a year or two ago and think "wow - I looked great then - I wish I could lose 10 or 15 lbs and be back there" - but then I'll check my weekly weight log and discover I weighed exactly the same as I do now....or sometimes 3 or 4 lbs less (so....essentially the same). I think the only time my mental image and my brain were aligned was when I was in the 200-250 lb range.

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I always thought the rare pxts of me at my highest weight were just unflattering photos. I knew what I weighed & what size clothes I wore but the understanding of my actually physical size was way off. I certainly didn’t see it in the mirror.

It took a while post surgery to realise what size I am now but even then I don’t truly believe it. I still am surprised by the size of the clothes I wear now & when randomly catching my reflection in mirrors or windows. Some days I think my thighs are still fat. I know I still don’t think I see my true self in the mirror or in photos so I often check the height & weight of actresses so I get a better understanding of my size in comparison. Sshh don’t tell anyone I do that. It’s my little secret - lol!

Good luck with your surgery. I hope all goes well.

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21 hours ago, KellyMarie8288 said:

Hello. I'm getting sleeved tomorrow. I've read about body dysmorphia post-op, but wondering if anyone has had this before surgery. I wasn't always heavy, but put on about 100lbs over the last 15 years. However in my head I'm still the 120lb person I was. Don't get me wrong, I am aware of health issues, emotional stress, and physical and mental limitations that my larger size has imposed on me, but in my skin I think I am still the same. I occasionally will catch a view of myself in a mirror and be shocked by what I see and my denial kicks into overdrive. Is this a thing with anyone else? What happened to your self image post-op? Thank you all!

Sent from my Pixel 3a using BariatricPal mobile app

I was the same way. I was very thin growing up. Then about my late twenties and thirties, I went from about 110 up to 232lbs at my heaviest. I never saw the big girl either. In fact it was the day I was looking at a picture of me heavy and didn't recognize myself. I was 41ish when i had my Lapband SX. It seemed like that's when the brain made a switch and all I ever saw in the mirror was that fat girl looking back at me.

Still like that today. I don't see a size 0-2 in the mirror. When I hang my pants i have a hard time comprehending that they really fit me. Last night I was soaking in the tub with my husband and kinda saw what I think others see.

I'm seeing a therapist for a few things and this is one of them.

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On 1/17/2021 at 10:11 AM, KellyMarie8288 said:

I wasn't always heavy, but put on about 100lbs over the last 15 years.

Same here.

I never thought of myself as so very big until I saw the rare picture of myself, and even then I'm was all, nah, that's not me. I would often bump into walls when turning corners because I didn't think I needed to give myself more clearance!

Immediately after weight loss phase it became the opposite and I would think I was bigger than I actually was...like I wouldn't try to squeeze between the wall and the back of chair around the dinner table cuz I thought I wouldn't fit (but duh, I totally have lots of room).

I'd like to say I'm totally used to my current size now, but there are still times when I laugh at the thought of getting myself into a tiny looking pair of pants (spoiler alert: I can). This non-believing doesn't happen as often as it used to, so I figure in time it will be a non-issue altogether.

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
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      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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