LAST June, after Jerri Hafizi, a 5-foot-3 construction firm executive, lost 65 pounds, she asked a plastic surgeon to tighten the loose skin around her torso and lift her breasts. But the surgeon seemed not to understand what she wanted. He squeezed Ms. Hafizi’s skin in his fists, she said, and told her that the only way to solve her problem was with implants.
“He wanted to make me into a Barbie doll,” said Ms. Hafizi, 50, who lives in Merritt Island, Fla. “But I didn’t want to be made over according to somebody else’s idea of what a woman should look like.”