A man who lost 644 pounds through gastric bypass surgery has posed naked in hopes of getting the attention of doctors who might want to operate on him to remove his excess skin.
Paul Mason, 52, is from Suffolk, U.K. He estimates that he has around 112 pounds of extra skin.
He weighed 980 pounds at his heaviest before he had gastric bypass surgery, which shrunk his stomach to the size of an egg.
It was paid for through England's National Health Service, but removing his excess skin will cost much more - up to $100,000. Because of its high cost, doctors say he has to keep the weight off for two years before they will perform it.
Meanwhile, he struggles to live a normal life.
"I want health professionals to have a look and think, 'it's about time we helped this chap,'" Mason said.
"Around my middle and on my legs the skin keeps splitting because of the weight of it. People think skin will shrink back but it doesn't. If they find it shocking perhaps they will think twice [about gaining weight]."
England's health service relies on a panel of clinicians and experts to decide if a patient qualifies for the skin removal operation. A spokesman for the group said that Mason must "demonstrate a stable weight before he is considered."
Weight has been a problem for Mason since the mid-1980s, when he began overeating due to a series of tragedies. In that decade, he and his girlfriend broke up, his father died and his mother's health was deteriorating.
When he was at his worst, he was eating 20,000 calories a day. At one point, he had to have people wash him and change his diapers because he could not get up.
Tired of his immobility, he got the surgery that enabled him to lose a significant amount of weight in 2010.
But even without the weight, he is still suffering from a lack of mobility, as the extra skin is painful.
"It is stopping me from being able to get on with my life," he said. "Once I get rid of the spare skin I also hope to be able to go swimming and cycling and join a gym - and find a girlfriend."