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Consumer-based criticism regarding the lower sizes of plus-size models was for a long time commonplace and wide-spread. While the reputed 'average' dress size of an American woman is size 14, the majority of models represented as plus-size were between a US size 6-12; therefore, the models did not reflect the average consumer size.<ref>{{cite news |url=https://www.npr.org/templates/story/story.php?storyId=123604722 |title=Fashion Week's Latest Trend? Plus-Size Models |publisher=NPR News |date=15 February 2010 |access-date=16 October 2010}}</ref> However, over the past ten years, larger plus-size models have appeared, particularly on social media, and Tess Holliday (US size 22, UK size 26) was featured on the September 2018 cover of Cosmopolitan.
Like other models, plus-size models use food tricks to temporarily alter their size long enough to meet client demands, such as eating salty food to go up in size or eating cotton balls dipped in juice to shrink for a shoot.<ref name="Sauers, Jenna">{{cite web |url=http://jezebel.com/5824896/plus+size-models-wear-body-padding-to-please-certain-clients-and-other-modeling-non+secrets |title=Plus-Size Models Wear Body Padding To Please Certain Clients, And Other Modeling Non-Secrets |author=Sauers, Jenna |date=26 July 2001 |work=Jezebel |access-date=23 July 2012}}</ref> Agents have suggested plastic surgery to some models.<ref>{{cite news |url=
German fashion designer [[Karl Lagerfeld]] and other fashion designers have deferred on the use of plus-size models through a lack of interest in the consumers associated with the term plus-size. Lagerfeld in particular has been vocal on the matter of his preferred clientele: "What I designed was fashion for slender and slim people" and received criticism for demanding that mass retailer [[H&M]] not produce their collaboration designs to size 16.<ref>{{cite news |url=https://www.independent.co.uk/life-style/fashion/news/designer-says-plussize-models-are-a-joke-2001677.html |title=Designer Says Plus-Size Models Are 'a Joke' |work=The Independent |date=16 June 2010 |access-date=16 October 2010 |___location=London |first=Harriet |last=Walker}}</ref><ref>{{cite news |url=https://www.independent.co.uk/life-style/fashion/no-one-wants-to-see-curvy-women-german-designer-1801469.html |archive-url=https://web.archive.org/web/20091015003542/http://www.independent.co.uk/life-style/fashion/no-one-wants-to-see-curvy-women-german-designer-1801469.html |archive-date=15 October 2009 |title='No One Wants to See Curvy Women': German designer Karl Lagerfeld |work=The Independent |date=12 October 2009 |access-date=16 October 2010 |___location=London}}</ref><ref>{{cite news |url=http://www.vogue.co.uk/news/2004/11/18/lagerfelds-high-street-split |title=Lagerfeld's High Street Split |work=Vogue UK |date=18 November 2004 |author=unattributed}}</ref>
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