Why I won't have any more surgery


Photo: Cultura/Mischa Keijser, posed by model

I am the 'after' side of surgery, having lost more than 112 kilograms. No one gets this, at least not without an explanation, because I still weigh over 90 kilograms, and the weight loss fable is supposed to end when you’re thin, not when you’re merely 'an average fat person'. I still wonder if I should get more surgery. I have so many pieces of clothing that fit, but that I reject because they cling in one place wrong. That particular place is my right thigh and calf, which are obviously larger than the left. (I call it my freak leg.) Doctors have no real explanation, but the general theory is that a fall I suffered when I weighed 272 kilograms actually broke off a chunk of fat in my calf. That place just above my knee seems swollen, and is the reason I can’t wear skirts anywhere close to above the knee.

In general, I have bravado about my body. I worked hard for it, and I willingly wear a swimsuit in public. I endured surgeries for this body. I lost my navel when they chopped off all my redundant skin. 'Redundant.' The word reminds me of English movies where someone gets fired. I have wanted to fire my whole body at one point or another, but that putrid mass of dangling gut skin, my prize after losing nearly 136 kilograms, sat quivering at the top of my layoff list. It oozed and wept and smelled like old gym socks. I could lift it like an apron — not an uncommon phenomena in gastric bypass circles. The surgery to remove this old skin is actually called a panniculectomy because the Latin word for apron is “pannus.”

If you’re a woman fat enough to have required a panniculectomy, and you’re not a total uggo, you’ve probably heard the best, worst compliment thin women can bestow: “You have such a pretty face!” They say it the way you apologise to someone when a pet dies.

Rebecca Golden

Rebecca Golden

I remember the first time. Sixth grade, Central Elementary School, Amy. She had stringy arms and wide blue eyes and long brown hair. She liked to encourage my romantic prospects by talking her creepy redneck boyfriend’s pals into pretending to ask me out. She sauntered by my desk one day, the grin on her face giving me unsubtle clues about her intention. “You have,” she paused, shaking her head again, “such a pretty face. Such. A. Pretty. Face.” She smirked, and wandered off to tell her friends about this coup. I went to the girls’ room and looked in the dull mirror, its edge chipped in one corner. My hair needed brushing. I have wildly curly hair and a very sensitive scalp, so I spent the ’80s looking like someone had electrocuted a very fluffy squirrel and stapled it to the top of my head. My enormous old lady glasses had smudges on them, and my expression looked like what would happen if sullenness and impotent fury made a baby on my face. I tried to give myself a pep talk. What did Amy know anyway? She still thought Swatches were a good idea.


But I grew older, and stronger, and now my face has its moments, especially now that I’ve found decent conditioners and a pain threshold high enough to allow for regular brushing. The dead squirrel look gave way to soft, floaty curls with decent volume. I tilt my face toward a camera I’m holding over my head — and then watch people “like” the images on Facebook.

Eventually I started posting full-body shots, and I met my current boyfriend on OKCupid. But before I wised up, I went on a date with a guy from Detroit. We’d exchanged email for a month and had a bunch of nice phone conversations, but when we finally met he took a phone call about 10 minutes in, made an excuse about his mother, and bailed. Later he sent an email saying his mother died. The email seemed to suggest that I’d had something to do with it. I suspected it was all a lie, given the way he looked at me as he left. And I made jokes about that meeting, played it for laughs, but I felt real anguish. I felt certain that my body repelled him.

I know I’m a specialty item, and that dating, as my friend Becca likes to say, is not a merit-based system, but I feel like losing 136 kilograms and having an 18 kilogram chunk of skin cut off really ought to be enough. I feel like there ought to be an end point when I’m allowed — or allow myself — to think of something other than my body and how wrong it looks.

The truth is that my body serves me well. It fills out a size 22 dress or sweater in ways that some men find very appealing. I have a resting pulse rate of 60, somewhere in the athletic range. I swim laps and take a lot of long walks. I dance. I climb stairs and do all my own stunts. Despite all of this (and the cleavage), when my boyfriend moves to take any of my clothes off, I ask him to turn off the lights. This body I worked so hard for and that my boyfriend takes so much pleasure from still troubles me.

And so I wonder if I shouldn’t work on more surgeries. Having the freak leg corrected would serve a medical purpose. In addition to looking like holy hell, that sheared off chunk under my skin impedes circulation, causing wrenching muscle spasms so intensely and nauseatingly painful I’ve wondered if my calf muscle might succeed in ripping itself off the bone. People who lose most of the excess weight through gastric bypass sometimes have a revision surgery. These people are extreme cases like me, people who weighed more than 180 kilograms and whose “after” falls short of the fable. They get a second bypass and move closer to the cosmetic ideal. I think about revision, but lack the motivation I had with the initial surgery. When I let people cut me open and splice parts of my intestines to my gut in ways not intended by nature, I did so because I knew that if I didn’t have surgery, I’d die. Life expectancy at my start weight was 35 years. I had the operation when I was 33.

I don’t need another surgery to stave off imminent death. My cholesterol is ridiculously low, and my blood pressure is normal. If I had another surgery, I’d be doing it purely for cosmetic reasons, or so that I could land some future boyfriend who’d probably look at my current shape with disgust. While I’d like to have all the dating options thinner women enjoy, I also enjoy being alive, and now fear surgery a lot more than I did.

When I want to imagine the body another operation (and another — there’s always more skin where the last redundant chunk came from) would give me, or when the pants I liked in the store make my calf look like the thick end of a turkey leg, I take a deep breath, look at my pretty face in the mirror, and know that I can always cheat the angle with my camera, phone or toaster. In the end, I’d rather cheat the angle than punish my body any more. I’d rather cheat the angle than cheat myself.