about the procedure which was carried out by Dr Sid Gautam at Bristol's Dermaskin clinic.
She said: "I've got to the point now where I want the body I want. So everyone was calling turkey neck so I had, I didn't realise they could do it, so I had this little bit of skin hanging down.
"So the surgeon did Botox all around here and I sorted out my turkey neck."
The reality star, whose body transformation was chartered on a fitness DVD, was on ITV's Loose Women last week and confessed she'd had a "nipple lift."
The blonde explained how she been told that her nipples were “everywhere.”
“They were a bit hairy in the middle. They were like that,” she said pointing in opposite directions with her fingers.
And whilst she didn’t show off the surgeon’s handiwork, she assured the panel that they were now “straight and pointy”.
Josie was also upfront about the effect her dramatic weight loss had on her body, pulling up her top during the live show to show the excess skin around her stomach.
“I have been left with all this skin,” she explained.
"The only thing I can do with it is cut it away. You only live once you might as well have the body you want to have.”
Speaking about her well documented diet she told MailOnline: "Everyone says why don't your DVD photos look like you... I was in the best shape of my life doing that DVD but I've turned a bit lazy I need to get to the gym a bit more.
'I tucked in my skin on the photos! It's like a belly blanket and I wanna get rid of it."
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