Non-Surgical Cosmetic Procedures: Older Women's Perceptions and Experiences

ABSTRACT

This paper analyzes findings from in-depth interviews with 44 women aged 50–70 regarding their perceptions of and experiences with non-surgical cosmetic procedures such as Botox injections, laser hair removal, chemical peels, microdermabrasion, and injectable fillers. While 21 of the women had used a range of non-surgical cosmetic procedures, 23 women had not. The data are discussed in light of feminist theorizing on cosmetic surgery which has tended to ignore the experiences of older women and has been divided in terms of the portrayal of cosmetic surgery as either oppressive or liberating. We found that some of the women used the procedures to increase their physical attractiveness and self-esteem, others viewed the procedures as excessively risky, and still others argued that the procedures stemmed from the social devaluation of later life. Treatments that involved the alteration of the surface of the body tended to be viewed as less risky than the injection of foreign substances into the body.     

#BlackDontCrack: a content analysis of the aging Black woman in social media

Abstract

This paper examines how positive social media representations of aging Black female bodies problematize existing notions of aging as an almost uniformly negative phenomenon. Using the social media platform Tumblr, this study reveals that the framing of age, race, and gender is both complex and nuanced. Images which challenge deeply set historical notions of female beauty include those of celebrities, noncelebrities and comparisons between aging Black women and historically standardized representations of physical attractiveness. Findings illustrate that managing impressions vis-à-vis social media is a complex, sometimes messy performance in which images both challenge and substantiate problematic assumptions. Some images that framed Black women positively but did so at the expense of other women. This paper adds to the body of work that explores how social media is used as a vehicle for counter narrative messaging. These findings offer additional insight into how impression management theory is used to analyze social media content.     

Visibility patterns of gendered ageism in the media buzz: a study of the representation of gender and age over three decades

Abstract

The mainstream media provides a constant flow of visual images of men and women, whether it is via newscasts, billboards, magazines, or television. In media research, these different media types are usually investigated separately. The aim of this study is to analyse the accumulated gender representation of all images that we passively or actively take part in, here defined as “the media buzz.” To capture the representation of gender and age in the media buzz, this study focuses on images from one day in the most circulated media within Sweden: news, feature stories, fiction, and advertising. The empirical data is drawn from three different decades—1994, 2004, and 2014. Overall, the study indicates there to be a general male/female balance in terms of numbers. However, when turning older, both men and women become almost invisible, even though older men are more visible than older women. Older persons rarely reach the news and they are more likely to be found in advertising and feature material. The work presented here suggests that the structures of visibility and the clusters of gender-age representation in the media foster stereotyping. The media buzz not only contributes to ageism, but is also still distinctly gendered.     

From under the veil to under the knife: women,cosmetic surgery,and the politics of choice in Afghanistan

This study investigates the factors motivating women in Afghanistan to seek cosmetic surgery through qualitative in-depth interviews with 16 consumers of cosmetic surgery. Providing a discussion of contemporary life for women in Afghanistan during a time of social and political change, where many suggest women have more freedom and opportunities available to them following the fall of the Taliban and the US-led intervention, this study explores the extent to which post-feminist discourses of empowerment and choice are reflected in these experiences. While some have attributed the consumption of cosmetic surgery among Afghan women to newly granted freedom, this perspective presents cosmetic surgery as an individual choice rather than a response to the complex systems that promote limited beauty ideals. When challenged, this empowerment discourse dissolves to reveal the complexity of body-altering practices. The case of cosmetic surgery in Afghanistan comments on the complex global beauty economy through discussions of the post-feminist politics of choice, ethnic/class politics, and consumerism.     

After September 11

A major question in studying the relationship between mass media and society is whether mass media are agents of social change or reinforcers of the status quo. This study examined media portrayal of women to explore the relationship between the media and society within the Chinese context. Through a content analysis of 352 cover pictures of Women of China, China's official English women's magazine for foreign publicity, the authors investigated whether and how the media portrayal of Chinese women relates to China's social changes. Our findings show that the image of Chinese women presented by the covers of Women of China is to a large extent influenced by the socio-economic and political-ideological changes in China. Rather than a literal portrayal of the “reality,” it is a symbolic representation of the Chinese women created through the interaction of party ideology, editorial policy, and readers' taste as well as the changing reality of Chinese women's life and work. The interlocking of party control and societal influences has determined the typical images of “Chinese Women” suited to particular periods of time in the contemporary Chinese history.     

Television And The Domestication Of Cosmetic Surgery

An exploration of the discursive production of cosmetic surgery on the television shows Extreme Makeover and Nip/Tuck illustrates that these programmes contribute to and reflect the processes through which cosmetic surgery has become domesticated within increasingly globalised contexts. I demonstrate that across a range of cultural sites, including some feminist scholarship, the press, and surgical television, post-feminist frames have displaced feminist frames for comprehending cosmetic surgery, enabling the culture's surgical turn. Feminist attention to risk, oppressive standards for appearance, and the cultural and discursive location of suffering around the deviant body is displaced by the post-feminist celebration of physical transformation as the route to happiness and personal empowerment. It is this logic that is played out through Extreme Makeover's rendering of surgery as the solution for personal suffering and a meting out of justice to the “moral” individual. Extreme Makeover explicitly domesticates cosmetic surgery by publicising its benefits and undoing the former imperative to hide surgery rather than be viewed as “inauthentic.” As a corollary, the show promotes a system of visual eugenics where “unaesthetic” raced and gendered facial and bodily features are erased. Nip/Tuck gestures toward feminist responses to surgical culture through making its violent interventions into the body explicit, by including a feminist character, and through incorporating plot lines which critique the narcissism and gendered cruelty of surgical appearance work. However, these gestures serve as dramatic devices, the political potential of which is curtailed by the requirements of the melodrama to favour sensational story arcs and to retain a degree of sympathy for the surgeon leads. Thus, both shows contribute to a post-feminist mediascape which renders the inevitability of the culture's surgical turn, providing limited frames for viewers negotiating their own responses to the meanings of cosmetic surgery.     

Non-surgical cosmetic procedures: older women's perceptions and experiences

This paper analyzes findings from in-depth interviews with 44 women aged 50-70 regarding their perceptions of and experiences with non-surgical cosmetic procedures such as Botox injections, laser hair removal, chemical peels, microdermabrasion, and injectable fillers. While 21 of the women had used a range of non-surgical cosmetic procedures, 23 women had not. The data are discussed in light of feminist theorizing on cosmetic surgery which has tended to ignore the experiences of older women and has been divided in terms of the portrayal of cosmetic surgery as either oppressive or liberating. We found that some of the women used the procedures to increase their physical attractiveness and self-esteem, others viewed the procedures as excessively risky, and still others argued that the procedures stemmed from the social devaluation of later life. Treatments that involved the alteration of the surface of the body tended to be viewed as less risky than the injection of foreign substances into the body.     

Women's access needs in maternity care in rural Tasmania,Australia: A mixed methods study

ObjectivesThis study investigates (i) maternity care access issues in rural Tasmania, (ii) rural women's challenges in accessing maternity services and (iii) rural women's access needs in maternity services.MethodsA mixed-method approach using a survey and semi-structured interviews was conducted. The survey explored women's views of rural maternity services from antenatal to postnatal care, while interviews reinforced the survey results and provided insights into the access issues and needs of women in maternity care.FindingsThe survey was completed by n = 210 women, with a response rate of 35%, with n = 22 follow-up interviews being conducted. The survey indicated the majority of rural women believed antenatal education and check-ups and postnatal check-ups should be provided locally. The majority of women surveyed also believed in the importance of having a maternity unit in the local hospital, which was further iterated and clarified within the interviews. Three main themes emerged from the interview data, namely (i) lack of access to maternity services, (ii) difficulties in accessing maternity services, and (iii) rural women's access needs.ConclusionThe study suggested that women's access needs are not fully met in some rural areas of Tasmania. Rural women face many challenges when accessing maternity services, including financial burden and risk of labouring en route. The study supports the claim that the closure of rural maternity units shifts cost and risk from the health care system to rural women and their families.     

Socially disadvantaged women's views of barriers to feeling safe to engage in decision-making in maternity care

BackgroundAlthough midwifery literature suggests that woman-centred care can improve the birthing experiences of women and birth outcomes for women and babies, recent research has identified challenges in supporting socially disadvantaged women to engage in decision-making regarding care options in order to attain a sense of control within their maternity care encounters.ObjectiveThe objective of this paper is to provide an understanding of the issues that affect the socially disadvantaged woman's ability to actively engage in decision-making processes relevant to her care.Research designThe qualitative approach known as Interpretative Phenomenological Analysis was used to gain an understanding of maternity care encounters as experienced by each of the following cohorts: socially disadvantaged women, registered midwives and student midwives. This paper focuses specifically on data from participating socially disadvantaged women that relate to the elements of woman-centred care-choice and control and their understandings of capacity to engage in their maternity care encounters.FindingsSocially disadvantaged women participants did not feel safe to engage in discussions regarding choice or to seek control within their maternity care encounters. Situations such as inadequate contextualised information, perceived risks in not conforming to routine procedures, and the actions and reactions of midwives when these women did seek choice or control resulted in a silent compliance. This response was interpreted as a consequence of women's decisions to accept responsibility for their baby's wellbeing by delegating health care decision-making to the health care professional.ConclusionThis research found that socially disadvantaged women want to engage in their care. However without adequate information and facilitation of choice by midwives, they believe they are outsiders to the maternity care culture and decision-making processes. Consequently, they delegate responsibility for maternity care choices to those who do belong; midwives. These findings suggest that midwives need to better communicate a valuing of the woman's participation in decision-making processes and to work with women so they do have a sense of belonging within the maternity care environment. Midwives need to ensure that socially disadvantaged women do feel safe about having a voice regarding their choices and find ways to give them a sense of control within their maternity care encounters.     

Chicks,Dicks, and Contradictions

This essay examines Playgirl as a rich, yet overlooked, archive in the history of American pornography. Although the magazine often is dismissed as the token attempt of a masculinist industry to equalize its representational politics, I argue instead that a significant synergy exists between Playgirl and entwined debates over pornography, gender, and commercialized sexuality in 1970s America. Employing established conventions of the women's magazine, Playgirl utilized that form toward granting women access to explicit images. Yet given its “better lifestyling” advice on how the sexually liberated woman might find empowerment by viewing male nudes, Playgirl's reluctance to display full-frontal nudity until the midpoint of its first year fashioned an initially compromised aesthetic. Not only were women interpolated as untutored viewers within this regime of genital obstruction, but models also were all but emasculated. Consequently, the degree of male exposure that could be handled by both viewers and models was questioned, critiqued, and debated across Playgirl's letters to the editor section, aptly entitled “In-ter-course.” As an artifact of sexual media history, Playgirl is invaluable because readers are able to trace throughout its pages the ways in which changing tides of gendered power began to problematize pornography's routine dichotomy between masculine subjectivity and female objectification.     

Women's knowledge of options for birth after Caesarean Section

ObjectiveIn Australia, the Caesarean Section rate has risen from 21.8% to 31.1% (2010) in a decade; in South Australia the rate was 32.2% in 2009. Caesarean Section is a life saving intervention in certain circumstances, but also a major surgical procedure with potential adverse effects on both mother and baby. The aim of this study was to ascertain the determinants of knowledge regarding options for subsequent birth in women who have experienced a previous Caesarean Section with a live baby.MethodA sample of 33 women in South Australia who had a previous Caesarean Section were surveyed to assess their awareness of birth options and their advantages versus disadvantages as well as the possible factors influencing their information gathering and decision-making on birth options for their subsequent pregnancy.FindingsMost women perceived Caesarean Section to be major surgery but 69.6% were not aware that babies might have problems with breastfeeding, 60.6% did not know the rarity of uterine rupture during labour and/or birth and 48.5% were not aware that a caesarean may involve any complications for the baby at or after birth.ConclusionWomen's knowledge deficits relating to risks and benefits of birth options after previous caesarean can constrain them as most women chose caesarean rather than normal birth in their subsequent pregnancy.     

Good Mothers,Bad Mothers

This paper reports on an analysis of representations of child abuse in English-language newspapers in Malaysia. Certain media images of mothers recur: bad mothers who are unable to protect their children; and good mothers, who are feminine representatives of a maternalised national government which is charged with interceding on behalf of abused children. Mothers implicated in child abuse are harshly judged by the maternalist regime. Our findings resonate with previous feminist analyses of child abuse but manifest differently in a non-Western, non-Christian context. In Malaysia, motherhood plays a crucial role in nationalist political culture; women and mothers carry increasing economic, social and political burdens in the rapidly modernising state. Fathers are largely marginal or absent in media reporting of child abuse, while mothers are represented as fully responsible for the care of children, particularly when problems occur. The media's blaming of child abuse on social changes while valorising traditional families reflects a conservative, patriarchal perspective, occluding discussion of the contexts of child abuse and thus mitigating against comprehensive solutions.     

Taking the reins: A grounded theory study of women's experiences of negotiating water immersion for labour and birth after a previous caesarean section

BackgroundWomen seeking a vaginal birth after a caesarean section (VBAC) frequently want to keep their subsequent labour and birth free from intervention. Water immersion (WI) during labour is potentially an effective tool for women having a VBAC for its natural pain-relieving properties. However, negotiating access to WI can be difficult, especially in the context of VBAC.AimTo explore women's experiences of negotiating WI for labour and birth in the context of VBAC.MethodologyThis Grounded Theory study followed Strauss and Corbin's framework and analytic process. Twenty-five women planning or using WI for their VBAC labour or birth were recruited from two midwifery practices and a social media group across Australia. Participants were interviewed during pregnancy and/or postnatally.Findings‘Taking the reins’, the core category explaining the women’s experiences of assuming authority over their birth, comprised five categories: ‘Robbed of my previous birth experience’; ‘My eyes were opened’; ‘Water is my tool for a successful VBAC’; ‘Actioning my choices and rights for WI’, and ‘Empowered to take back control’. ‘Wanting natural and normal’ was the driving force behind women’s desire to birth vaginally. Two mediating factors: Having someone in your corner and Rules for birth facilitated or hindered their birth choices, respectively.ConclusionThe women became active participants in their healthcare by seeking information and options to keep their birth experience natural and normal. Support from other women and advocacy in the form of continuity of midwifery care was crucial in successfully negotiating WI for their VBAC when navigating the complex health system.     

Older Women of Color: A Feminist Exploration of the Intersections of Personal,Familial and Community Life

SUMMARY

This paper examines the lives of older U.S. women of color who represent racial and ethnic heritages that have a history of unequal access to sources of economic and political power in this country. These women exemplify women with vastly different cultural traditions, but are similar in that they face discrimination as women of color. The combined impact of age, gender, and racial and ethnic background is neglected within our discussions of older women. This paper contributes to our understanding of older women of color by examining the personal, familial, and community aspects of the lives of older women of color. This exploration challenges feminist gerontologists to bring the discussion of this intersection to the center as we explore and seek to comprehend the reality of older women's lives. This scrutiny creates a space for the discussion of both the threats faced by women of color in their unique juncture as old, female, and of color as well as an illumination of the strengths manifested by these women. Further the need to embrace a feminist gerontological framework when practitioners work with these populations is addressed.     

Maternal mental health in Australia and New Zealand: A review of longitudinal studies

AimThe aim of this paper is to describe the factors that impact on the mental health of Australian and New Zealand (NZ) women in the perinatal period (pregnancy and the year following birth), and to determine the impact of perinatal mental health on women's subsequent health by summarising findings from prospective longitudinal studies conducted in Australia and NZ.MethodsA systematic search was conducted using the databases, Scopus, Medline, PsychInfo and Health Source to identify prospective longitudinal studies focused on women's social and emotional health in the perinatal period. Forty-eight papers from eight longitudinal studies were included.ResultsThe proportion of women reporting depressive symptoms in the first year after birth was between 10 and 20% and this has remained stable over 25 years. The two strongest predictors for depression and anxiety were previous history of depression and poor partner relationship. Importantly, women's mood appears to be better in the first year after birth, when compared to pregnancy and five years later. Becoming a mother at a young age is by itself not a risk factor unless coupled with social disadvantage. Women report a high number of stressors in pregnancy and following birth and the rate of intimate partner violence reported is worryingly high.ConclusionMidwives have an important role in the identification, support and referral of women experiencing mental health problems. As many women do not seek help from mental health services, the potential for a known midwife to impact on women's mental health warrants further examination.     

When it hurts I think: Now the baby dies. Risk perceptions of physical activity during pregnancy

BackgroundA decrease in the level of physical activity from pre-pregnancy to pregnancy seems to be a general problem, despite the obvious health benefits of physical activity. Quantitative studies indicate that pregnant women's fears might explain why they reduce their level of physical activity, but still no qualitative research has investigated the experiences influencing these women.QuestionTo explore healthy women's perceptions of risk associated with physical activity during pregnancy.MethodAn interpretive narrative approach was used to gain insight into pregnant women's personal stories and lived experiences. Five Danish pregnant women aged 26–36 years participated in semi-structured, in-depth interviews between September and December 2010. The analysis method was based on two types of narrative inquiry: (1) a narrative analysis to cover the story, and (2) a paradigmatic analysis to cover the themes.FindingsMost of the pregnancy stories highlighted a specific experience, which made the women anxious. These experiences were: previous miscarriages, fertility treatment and shortened cervix. Also bodily challenges and pain scared the women, such as hypertonic pelvic muscles, Braxton Hicks contractions, abdominal pain, exhaustion, and shortness of breath. The stories also described the impacts of women's relatives and friends on their perceptions of risk.ConclusionSpecial consideration should be given to pregnant women who have had negative experiences in previous pregnancies and bodily challenges, which make them anxious and discourage them from being physically active. Healthcare professionals could also pay attention to the fact that women's relatives and friends play a major role in women's perceptions of risk.     

Relationships Among Older Women Living in a Nursing Home

SUMMARY

Literature suggests that women's skills in establishing close ties with other women help sustain them in old age by giving them a sense of control over their lives. This paper questions how such a notion may apply to women in a nursing home setting and contrasts women's experiences with those of men. It is a reanalysis of data from a previously reported study of institutionalized elders' social networks, this time with a specific focus on women residents' relationships with one another. Here, I consider the role of negative interaction in personal relationships, the meaning of intimacy and reciprocity in the nursing home context, and issues of age and gender. The final section, implications for practice and future research, includes a discussion of the opportunities for and constraints on relationship formation.     

Older Women,Their Children,and Grandchildren: A Feminist Perspective on Family Relationships

SUMMARY

Using gerontological and feminist frameworks, we explored the relationships older women have with their children and grandchildren. In-depth, qualitative interviews were conducted with 34 women, ranging in age from 55 to 88. From our analyses of the women's perceptions of their family relationships, two themes were prevalent: the centrality of children and the peripherality of grandchildren in their everyday lives. The women had varying degrees of involvement with their children and grandchildren, and these relationships contributed to their sense of self and family. Their relationships were not stagnant, but were continually reshaped as both the women and their family members proceeded through the life course.