Could a Weak Abdomen Be Related to my Past? (photo)

You don't say whether you have had children, which could cause the bulging abdomen. Weight fluctuation could certainly have caused muscle weakness in your case, but no way to be absolutely certain. In any event, a tummy tuck with muscle repair can fix the situation. However, you should wait if you are planning to have children in the future.

Thank you for the question and picture;  congratulations on successfully defeating the eating disorder.  Given your description and  picture, it is possible that abdominal wall muscle diastasis  is responsible for the appearance of your abdomen.  This spreading of the muscle is usually related to significant weight gain/loss or is seen after pregnancy.

 If diastasis  of the abdominal wall muscles is found ( on physical examination) to be the cause of the prominent abdomen,  then tummy tuck surgery may be indicated.

 Generally speaking,  the “ideal” patient for tummy tuck surgery is one who has completed pregnancies, is psycho socially/emotionally/financially stable,  has an excellent social support system surrounding him/her,  is capable of arranging enough recovery time and who has reached a long-term stable weight.

Best wishes.

This is a possibility. Usually this type of appearance is related to massive weight change or pregnancy, but it is easily imaginable that binging can contribute to your appearance. 

Although a TT may well be a good treatment, your tissues appear so stretched out that I would consider using a kind of mesh, such as is used in complicated hernia repairs to supplement the tightening. That will decrease the chance of recurrence since your tissues might fail otherwise to maintain the repair that would be done.

All the best.