The campaign, by an Italian clothing firm, is intended to highlight the dangers of using super-skinny "size zero" models.
Clothing firm Flash & Partners ran the ad for their brand Nolite, which is aimed at young women. It has the slogan "No Anorexia" over the picture of the girl, Isabelle Caro.
The 27-year-old weighs less than five stone and became anorexic at the age of 13.
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She said: “I want to show myself fearlessly, even though I know my body arouses repugnance.”
“I want to recover because I love life and I want to show young people how dangerous this illness is.”
Flash & Partners said: "This sickness is in most cases caused by the stereotypes imposed on women by the fashion world."
Blame
But top designers dismissed the ad – saying that fashion is not to blame.
Giorgio Armani said: “Even people who take no notice of fashion get anorexic.”
And a spokesman for Dolce and Gabbana said: "Anorexia has nothing to do with fashion. The big problem is obesity."
We caught up with Jen Hunter, winner of Five's Make Me A Supermodel, who, despite winning the reality tv show last year, has refused to slim down from a curvy size 12:
"I don't think the fashion industry is solely to blame for anorexia, but the way the media portrays models and celebrities does put a lot of pressure on young girls to slim down."
"If you're naturally skinny, that's great. But people shouldn't have to starve themselves to fit into a social ideal. In my opinion, size should be seen in the way flowers are – every flower is
different but they are all beautiful."