Do Eating Disorder Histories Discourage Doctors from Removing Excess Skin?

I'm 24 years old, weigh 100 lbs and am 5'2". About 5 years ago I developed an ED that led me to lose more than half of my body weight, going from about 190-200 lbs (after I got that heavy I didn't want to weigh myself, so I don't know the exact weight - I wore a size 18, though) to 86 lbs at my worst. Thanks to the help/encouragement of loved ones I went to a doctor about 2.5 years ago and started making improvements in my life that helped me reach a healthier weight.

Unfortunately, my initial major weight loss happened over the course of 6 months and led to excess skin that serves as a reminder of the person I used to be. Given my history of anorexia and my current weight, would I be disqualified as a candidate for body contouring surgery so that I can get rid of that excess skin? After undergoing several exams, the worst doctors found that resulted from my ED was some loss of bone calcium.

Doctor Answers 16

Will an eating disorder in my past prevent me from having excess skin removed?

Hi there-

First of all, congratulations on conquering the nasty weight demons! You should be proud of yourself.

Now that you've achieved a more healthy outlook and body, there are several important considerations...

I can certainly understand how the excess skin and undesirable body contour it causes would be an unpleasant reminder for you, and your motivation for having it removed. I don't think your motivations would be perceived as unhealthy.

There are other psychological and physical health considerations, however...

It is very important that you are in a good place mentally before your surgery can proceed. It sounds like you have achieved a healthier perspective, but surgery and its recovery can place significant additional stress on even the strongest of individuals, and post-surgical blues are not uncommon. This is because in the early postoperative period, swelling, bruising, fresh incisions, drain tubes, and discomfort may have you wondering exactly what you got yourself into- with time, as these short term discomforts and inconveniences are relieved and your lovely outcome is visible to you, your outlook will improve.

Visit with your doctor, psychologist, or psychiatrist and discuss your desired body contour surgery with them. They'll be able to write a quick note to your chosen Board Certified Plastic Surgeon letting them know that they support you in this endeavor, and are ready to also assist you with the psychological stresses of the postop period.

It is equally important to see your doctor to be sure that your body's physical functioning is good and you are in optimal condition to undergo the physical stress of the operation. As mentioned by colleagues, good nutrition is essential to good healing and a smooth recovery.

So to summarize, I do not think that the fact you were troubled in the past would limit my personal comfort with taking you on as a patient, but I would want to know that we had done everything possible to make the surgery as healthy and safe an experience for you as possible.

I hope that helps you- I wish you continued good luck!

Orlando Plastic Surgeon
4.8 out of 5 stars 157 reviews

Eating Disorders And Massive Weight loss Surgery

No two patients are ever exactly alike and each patient needs to be evaluated based on his/her own situation. Massive weight loss in someone with anorexia is an extremely complicated problem. Under these circumstances, it's important to  optimize both physical and mental health before proceeding with surgery.

It's, therefore, important that agreement exists amongst your health care team regarding the suitability of massive weight loss surgery. If a consensus exists, it's appropriate to proceed at your convenience.

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
4.9 out of 5 stars 194 reviews

Eating disorder and surgery

Thank you for your question.

Congratulations on getting the support you need to get you through this time.  I believe that as long as the eating disorder is under control (sometimes I ask for a letter from the treating clinician) and there are no body dysmorphic issues, I would not think it would be a problem going forward with surgery.

Best Wishes!

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Eating disoder and surgery

As long as your eating disorder is udner control and you are cleared by your therapist and medical doctor, I do not see a problem going ahead.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Eating Disorders and Plastic Surgery

Thank you for your question. If you are medically cleared both physically and mentally and your eating disorder is under control (because proper nutrition is imperative for healing after surgery) then proceeding with surgery should be just fine. It is important to discuss everything with your surgeon before doing anything. Ask a lot of questions and be sure that your expected results are within reason and attainable. Be sure that you consult with a board certified plastic surgeon that is experienced with weight loss patients and can show you many before and after photos of the procedure or procedures you are interested in. Good Luck

Dr. Bernard Shuster, Miami Florida

Bernard A. Shuster, MD, FACS
Hollywood Plastic Surgeon
5.0 out of 5 stars 28 reviews

Not necessarily...



Complex patients require individual evaluation when considering surgery particularly large scale surgery. There are few absolutes.


Best Regards,

John Di Saia MD

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 27 reviews

Body lift

 If you need to improve your self image the surgery do it.  You need to have a good nutritional status and have a clearence form your psycolgist and nutriologyst.  Good look with your reconstruction

Alejandro J. Quiroz, MD, FACS
Mexico Plastic Surgeon
4.3 out of 5 stars 116 reviews

Eating disorders and plastic surgery

Congratulations on getting healthy!  We deal with many women who have had eating disorders.  So long as you are truly healthy and have realistic expectations, you may be a great candidate for body contouring.  Prepare yourself, though, for the scars that must replace the loose skin.

Carmen Kavali, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 42 reviews

Eating disorders don't disqualify patients from plastic surgery but strongly influence the plastic surgeon.

Cosmetic plastic surgery generates physical changes that make most patients happy.  That's the point.  If there is a psychological condition that prohibits a person from experiencing the psychological benefits of a totally elective operation, why do it?

In the case of massive weight loss, most patients are very please having excess skin removed.  However, for physiological safety, the weight should be stable for 6 months.  This is also an indirect indicator of the patient's emotional health.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.7 out of 5 stars 35 reviews

Body Contouring

It is really importnat that you will honest and frank with your plastic surgeon.  As long as you have overcome your ED, then there is really no reason for you not to have plastic surgery after weight loss.  However, for these surgeries, it is best to go to someone who specilalizes in these procedures. For many of my patients who are having multiple body contouring procedures, I enhance their diet with a nutritional support supplement.  I believe that you will also benefit from this.

Siamak Agha, MD, PhD, FACS
Orange County Plastic Surgeon
4.7 out of 5 stars 106 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.