Amy Slaton Reveals Her Full Plastic Surgery Plan After Losing Nearly 200 Pounds — Breast Lift, Implants & Skin Removal

Losing the weight was only half the battle — now Amy Slaton wants to finish what she started. After dropping nearly 200 pounds, the 1000-LB Sisters star has revealed a plastic surgery wish list bigger and bolder than fans expected: skin removal, a breast lift, and yes, implants. And she’s already sitting in the surgeon’s chair.

“Amy 2.0”: The 200-Pound Milestone

Let’s put the numbers in perspective. When TLC cameras first rolled in 2020, Amy and Tammy Slaton weighed a combined 1,000+ pounds. Amy had bariatric surgery in 2019 at over 400 pounds and has now shed roughly 200 pounds in total, according to recent reports. She calls this new chapter “Amy 2.0” in the show’s promotional materials — and it shows. After marrying Brian Lovvorn on Halloween 2025, Amy reportedly dropped another 70 pounds, learned to drive, and finally feels like she can breathe. The problem? Massive weight loss leaves behind a lot of loose skin — and Amy is done carrying it.

The Consultation: Apron, Breasts and the “Six-Pack” Joke

In a clip from the October 13 episode obtained by PEOPLE, Amy and Brian sat down with plastic surgeon Dr. Kate Kottwitz, who specializes in body contouring, breast surgery and skin removal. Amy named two problem areas: the loose “apron” of skin hanging from her lower belly, and her breasts, which she joked “like to part ways.” Kottwitz gave it to her straight: the belly skin can absolutely be removed — she would even tighten the rectus muscles underneath — but for the chest, a lift alone won’t cut it. A lift repositions sagging breasts and low nipples, but it won’t restore volume. Only implants can do that.

Classic Amy, she cracked jokes the whole way through — asking whether the surgery would leave her with a six-pack instead of a “keg,” and quipping, “If I have my skin removed, I’ll have a six pack and the rest of me look like jello.”

The Catch: Lose 20 More Pounds — and Quit Smoking

Here’s the twist: the approval comes with a to-do list. Amy was first cleared by an LA-based surgeon over a video call in September — but that plan meant recovering two weeks in Los Angeles, far from her kids, so she went looking for a local option. The Evansville consultation is far more practical (she could recover in her own bed the same night), but the local surgeon has her own risk rules. According to reports, Amy must lose more than 20 pounds and quit smoking before she gets the final green light.

She’s also following in Tammy’s footsteps — Tammy already had over 15 pounds of loose skin removed and recently stunned fans showing off the results. Some fans at Amy’s festival appearance even said Amy has “passed Tammy again.”

What Fans Are Saying

The fandom is largely cheering her on. “I’m so happy for Amy, I hope she keeps this momentum when it comes to her health, physical and mental,” one viewer wrote. Others are just astonished: “When was this taken? I’ve never seen Amy so thin!” But the breast augmentation talk is where opinions split. Some fans love that Amy is being open about wanting a lift and implants, while others think she should love her body as-is and skip the implants. (Rumors about whether she’s already had work done are unverified — Amy has only confirmed her plans, not any surgery.)

One thing everyone agrees on: watching Amy advocate for herself, make plans, and chase what she wants is the best version of Amy we’ve seen in nine seasons. Should Amy go all the way — skin removal AND the breast lift with implants — or keep it simple? Is the to-do list (lose 20 pounds, quit smoking) fair? Drop your verdict below.