Because I like posting updates (I hope people don't mind me continuously bumping this thread)... Because I've proven that I'm maintained at least 3 months of a stable ~175 lbs after loosing weight, my primary care doctor has referred me for post weight loss plastic surgery ('body contouring' mostly to remove loose skin, and hopefully some stretch marks in the process). I have a consultation appointment with a plastic surgeon in a couple weeks. The end to extreme bodily blunders that I've been ashamed and embarrassed about for about a decade is in sight! Of course, I realize that body image issues are ultimately an internal issue. Sometimes people with 'perfect bodies' are the most self-conscious about their bodies. However, fixing up unusually embarrassing external issues can make a world of difference. Even with many of the bodily issues still need plastic surgery to be fixed, I still fell a lot more comfortable with my body in general.