Prison plastic surgery is plastic surgery or cosmetic surgery (often the terms are used interchangeably) offered and performed to people who are incarcerated, as a means of social rehabilitation. These services were normally provided as part of a larger package of care that may include work training, psychological services, and more. Popular surgeries included rhinoplasties, blepharoplasty, facelifts, scar removal and tattoo removal. These programs began in the early 20th century and were commonplace up till the early 1990s. They took place across the US (in 42+ states), the UK, Canada, and Mexico. [1]
"Incarceration itself is famously hard on the body," reports journalist and author Zara Stone in her book, Killer Looks: The Forgotten History of Plastic Surgery In Prisons; [2] in 2017, facial injuries accounted for 33% of all inmate hospitalizations in New York City, compared to 0.7 percent of the general population. "The existence of prison plastic surgery programs is America’s dirty little secret."
In San Quentin prison, California, the prison's chief medical doctor Dr. Leo L. Stanley was one of the first people to develop a prison plastic surgery practice, focused on reforming the faces of convicts. [3] "Considerable plastic surgery has been done, particularly that done for deformed noses,” Dr. Leo Stanley wrote in his 1918 report to the warden. [4] “This work has been of benefit in that it has improved the appearance of many of the men and removed a deforming feature. Some work has been done on ears which were very prominent." Stanley reported long waiting lists, noted researcher Ethan Blue. [5] Dr. Stanley's "typical prison malingerer," [6] had a fractured nose or scarred face, and was treated with crude methods: for nose surgery, a six-inch length of broomstick was placed against the nose and hit with a mallet. "The physician of the future will be an increasing powerful antagonist in the war against crime," Stanley wrote. [7]
New York was an early adopter, with attention to prisoner beautification baked in from the early 1900s. In 1915, NYC police commissioner Arthur Woods referred to a 15-year-old inmate's appearance in relation to his crime. “He was an inferior looking lad, small and flabby...mild acne on the face...forehead broad, nose small, eyes rather sly…chin pointed and receding,” wrote Woods. [8]
Prison plastic surgery became more prevalent throughout the 20th century. In 1954 the American Correctional Association added prisoner plastic surgery to its manual, stating: “elective surgery…[for] especially repulsive facial disfigurements has a definite place in the rehabilitation of prisoners. [9] ” Many states followed suit, including Texas, North Carolina, and Hawaii.
Some of these early surgeries fell in the eugenics bracket, the idea that criminality could be seen and displayed on the face, reports social Psychologist Ray Bull and Nichola Rumsey. [10] An examination of some of the mid-20th century prison programs suggested that by and large, plastic surgeries did reduce recidivism—in some cases, dropping it from 76% to 33%. Some findings: Plastic surgery is effective in enhancing the outcome for non-addict prisoners. In 1970, the former director of the Federal Bureau of Prisons from 1937 to 1964, James Van Benschoten Bennett, analyzed these programs. [11] "One of the more fruitful areas of research now under way in the federal prisons concerns plastic surgery: the way to rehabilitate a misshapen prisoner."
"Discriminatory practices based on physical appearance perpetuate social inequalities and hinder individuals' opportunities for reintegration into society," noted author Zara Stone, in a Rockefeller research paper. [12]
The scholar and feminist critic Jessica Mitford was one of the first to question the ethics of performing plastic surgery on prisoners, and if in such a circumstance the prisoners could really consent to such treatment. In her book, Kind and Usual Punishment, she wrote that one doctor told her that inmates had become “our companions in medical science.. . . . This has been a rewarding experience both for the physician and for the subjects.” This was in regards to a scurvy experiment where inmates suffered hemorrhages in the skin and whites of the eyes, excessive loss of hair, mental depressions, and abnormal emotional responses... at a time when scurvy was already curable and treatable." [13]
The writer Allen M. Hornblum explored the issue of consent [14] in his book, Acres Of Skin, where he reported of strips of skin being flayed off the back of inmates that participated in dermatological trials in the Eastern Penitentiary, Pennsylvania. [15] Ostensibly, they were volunteers, but a payment incentive was the reason for their volunteerism and abuse. [16]
In the movie Dark Passage, Humphrey Bogart plays the role of Vincent Parry, a man sentenced for murder. [17] Parry escapes San Quentin and undergoes plastic surgery to change his appearance and hide from the law while he tries to clear his name. In the 1996 movie A Face to Die For, Yasmine Bleeth plays the part of a scarred young woman that is conned into participating in a crime. [18] In prison she gets plastic surgery as part of a reform program, and when released sets out to seek her revenge.
Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. While reconstructive surgery aims to reconstruct a part of the body or improve its functioning, cosmetic surgery aims to improve the appearance of it. A comprehensive definition of plastic surgery has never been established, because it has no distinct anatomical object and thus overlaps with practically all other surgical specialties. An essential feature of plastic surgery is that it involves the treatment of conditions that require or may require tissue relocation skills.
The face is the front of an animal's head that features the eyes, nose and mouth, and through which animals express many of their emotions. The face is crucial for human identity, and damage such as scarring or developmental deformities may affect the psyche adversely.
A scar is an area of fibrous tissue that replaces normal skin after an injury. Scars result from the biological process of wound repair in the skin, as well as in other organs, and tissues of the body. Thus, scarring is a natural part of the healing process. With the exception of very minor lesions, every wound results in some degree of scarring. An exception to this are animals with complete regeneration, which regrow tissue without scar formation.
Disfigurement is the state of having one's appearance deeply and persistently harmed medically, such as from a disease, birth defect, or wound. General societal attitudes towards disfigurement have varied greatly across cultures and over time, with cultures possessing strong social stigma against it often causing psychological distress to disfigured individuals. Alternatively, many societies have regarded some forms of disfigurement in a medical, scientific context where someone having ill will against the disfigured is viewed as anathema. In various religious and spiritual contexts, disfigurement has been variously described as being a punishment from the divine for sin, as being caused by supernatural forces of hate and evil against the good and just, which will be later atoned for, or as being without explanation per se with people just having to endure.
Rhinoplasty, commonly called nose job, medically called nasal reconstruction, is a plastic surgery procedure for altering and reconstructing the nose. There are two types of plastic surgery used – reconstructive surgery that restores the form and functions of the nose and cosmetic surgery that changes the appearance of the nose. Reconstructive surgery seeks to resolve nasal injuries caused by various traumas including blunt, and penetrating trauma and trauma caused by blast injury. Reconstructive surgery can also treat birth defects, breathing problems, and failed primary rhinoplasties. Rhinoplasty may remove a bump, narrow nostril width, change the angle between the nose and the mouth, or address injuries, birth defects, or other problems that affect breathing, such as a deviated nasal septum or a sinus condition. Surgery only on the septum is called a septoplasty.
San Quentin Rehabilitation Center (SQ), formerly known as San Quentin State Prison, is a California Department of Corrections and Rehabilitation state prison for men, located north of San Francisco in the unincorporated place of San Quentin in Marin County.
A facelift, technically known as a rhytidectomy, is a type of cosmetic surgery procedure intended to give a more youthful facial appearance. There are multiple surgical techniques and exercise routines. Surgery usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping of the skin on the patient's face and neck. Exercise routines tone underlying facial muscles without surgery. Surgical facelifts are effectively combined with eyelid surgery (blepharoplasty) and other facial procedures and are typically performed under general anesthesia or deep twilight sleep.
Facial rejuvenation is a cosmetic treatment, which aims to restore a youthful appearance to the human face. Facial rejuvenation can be achieved through either surgical and/or non-surgical options. Procedures can vary in invasiveness and depth of treatment. Surgical procedures can restore facial symmetry through targeted procedures and facial restructuring and skin alterations. Non-surgical procedures can target specific depths of facial structures and treat localized facial concerns such as wrinkles, skin laxity, hyperpigmentation and scars.
Facial toning, or facial exercise, is a type of cosmetic procedure or physical therapy tool which alters facial contours by means of increasing muscle tone and facial volume by promoting muscular hypertrophy, and preventing muscle loss due to aging or facial paralysis. Facial toning and exercise is therefore in part a technique to achieve facial rejuvenation by reducing wrinkles, sagging, and expression marks on the face and skin. As a physical therapy, facial toning is used for victims of stroke and forms of facial paralysis such as Bell’s palsy. Facial toning achieves this by performing facial muscle exercising. There are two types of facial toning exercises: active and passive face exercises.
In cosmetology, exfoliation is the removal of the surface skin cells and built-up dirt from the skin's surface. The term comes from the Latin word exfoliare. This is a regular practice within the cosmetic industry, both for its outcome of promoting skin regeneration as well as providing a deep cleanse of the skin barrier. Being used in facials, this process can be achieved by mechanical or chemical means, such as microdermabrasion or chemical peels. Exfoliants are advertised as treatments that enhance beauty and promote a youthful and healthy appearance.
Cosmetic camouflage is the application of make-up creams and/or powders to conceal colour or contour irregularities or abnormalities of the face or body. It offers an answer to solve all related skin problems such as Congenital origin, Traumatic origin and Dermatological origin. Furthermore, cosmetic camouflage solves the psychological problems that a skin imperfection is sometimes able to provoke, it allows to rediscover its own beauty and to return with serenity to its own social life. Cosmetic camouflage creams were first developed by plastic surgeons during World War II to cover the massive burns received by fighter pilots. Nowadays, men, women and children can use cosmetic camouflage.
Aesthetic medicine is a branch of modern medicine that focuses on altering natural or acquired unwanted appearance through the treatment of conditions including scars, skin laxity, wrinkles, moles, liver spots, excess fat, cellulite, unwanted hair, skin discoloration, spider veins and or any unwanted externally visible appearance. Traditionally, it includes dermatology, oral and maxillofacial surgery, reconstructive surgery and plastic surgery, surgical procedures, non-surgical procedures, and a combination of both. Aesthetic medicine procedures are usually elective. There is a long history of aesthetic medicine procedures, dating back to many notable cases in the 19th century, though techniques have developed much since then.
Holmesburg Prison, given the nickname "The Terrordome," was a prison operated by the city of Philadelphia, Pennsylvania and the Pennsylvania Department of Prisons (PDP) from 1896 to 1995. The facility is located at 8215 Torresdale Avenue in the Holmesburg section of Philadelphia. It was decommissioned in 1995 when it closed. As of today, the structure still stands and is occasionally used for prisoner overflow and work programs.
A lip lift is the most common plastic surgery procedure that modifies the cosmetic appearance of the lips, by reshaping them to increase the prominence of the vermilion border and to enhance the facial area above the lips into a more aesthetically pleasing shape. In corrective praxis, a lip lift procedure is distinguished from lip enhancement, the augmentation of the lips, which can be affected with a non-surgical procedure.
Prison healthcare is the medical specialty in which healthcare providers care for people in prisons and jails. Prison healthcare is a relatively new specialty that developed alongside the adaption of prisons into modern disciplinary institutions. Enclosed prison populations are particularly vulnerable to infectious diseases, including arthritis, asthma, hypertension, cervical cancer, hepatitis, tuberculosis, AIDS, and HIV, and mental health issues, such as Depression, mania, anxiety, and post-traumatic stress disorder. These conditions link prison healthcare to issues of public health, preventive healthcare, and hygiene. Prisoner dependency on provided healthcare raises unique problems in medical ethics.
Injectable filler is a soft tissue filler made of polysaccharides injected into the skin at different depths.
Zara Stone is a San Francisco-based author and journalist. In 2020, her first book, The Future of Science Is Female: The Brilliant Minds Shaping the 21st Century, was published by Mango Publishing. Local News Matters says it "will STEM the tide of male domination in science." KALW described it as "about projects that women in STEM are working on." It was listed in Women's History Month New Nonfiction for Teens March 2021 by the Seattle Public Library.
Fat transfer, also known as fat graft, lipomodelling, or fat injections, is a surgical process in which a person's own fat is transferred from one area of the body to another area. The major aim of this procedure is to improve or augment the area that has irregularities and grooves. Carried out under either general anesthesia or local anesthesia, the technique involves 3 main stages: fat harvesting, fat processing and fat injection.
Leo Leonidas Stanley was an American surgeon who served as the Chief Surgeon of the San Quentin State Prison from 1913 to 1951. He was most notable for performing unethical human experiments on inmates during his tenure.
Dermatologic surgical procedures are treatments aimed at managing a wide range of medically necessary and cosmetic conditions, with a long history dating back to ancient times.
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