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http://bod.sagepub.com/ Body & Society http://bod.sagepub.com/content/8/4/21 The online version of this article can be found at: DOI: 10.1177/1357034X02008004002 2002 8: 21 Body & Society LLEWELLYN NEGRIN Cosmetic Surgery and the Eclipse of Identity Published by: http://www.sagepublications.com On behalf of: The TCS Centre, Nottingham Trent University can be found at: Body & Society Additional services and information for http://bod.sagepub.com/cgi/alerts Email Alerts: http://bod.sagepub.com/subscriptions Subscriptions: http://www.sagepub.com/journalsReprints.nav Reprints: http://www.sagepub.com/journalsPermissions.nav Permissions: http://bod.sagepub.com/content/8/4/21.refs.html Citations: What is This? - Dec 1, 2002 Version of Record >> at Universitaet Mannheim on September 19, 2012 bod.sagepub.com Downloaded from

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  • http://bod.sagepub.com/Body & Society

    http://bod.sagepub.com/content/8/4/21The online version of this article can be found at:

    DOI: 10.1177/1357034X02008004002

    2002 8: 21Body & SocietyLLEWELLYN NEGRIN

    Cosmetic Surgery and the Eclipse of Identity

    Published by:

    http://www.sagepublications.com

    On behalf of:

    The TCS Centre, Nottingham Trent University

    can be found at:Body & SocietyAdditional services and information for

    http://bod.sagepub.com/cgi/alertsEmail Alerts:

    http://bod.sagepub.com/subscriptionsSubscriptions:

    http://www.sagepub.com/journalsReprints.navReprints:

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    What is This?

    - Dec 1, 2002Version of Record >>

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  • Cosmetic Surgery and the Eclipse ofIdentity

    LLEWELLYN NEGRIN

    Within feminist theory, cosmetic surgery has been viewed largely as an oppres-sive technology which colonizes women’s bodies in a quite literal way, directlyintervening in the body to mould it in accordance with the prevalent ideals offeminine beauty. Those women who undergo cosmetic surgery for purelyaesthetic reasons are regarded as victims of a patriarchal ideology in which theself-esteem of women is primarily dependent on their physical appearance. Theburgeoning in the use of cosmetic surgery by women is seen to be symptomaticof the permanent sense of dissatisfaction that most women have with theirphysical appearance as a result of being relentlessly bombarded with images ofperfection by the mass media. As such, the predominant response to such a tech-nology by feminists has been one of rejection (see, for example, Lakoff and Scherr,1984: 169–74).

    However, in a number of recent writings there has been a discernible shift inattitude among some feminists towards the practice of cosmetic surgery. KathyDavis, in her book Reshaping the Female Body: The Dilemma of CosmeticSurgery (1995), offers a guarded ‘defence’ of the practice as a strategy that enableswomen to exercise a degree of control over their lives in circumstances wherethere are very few other opportunities for self-realization. Contrary to thosefeminists who condemn the practice of cosmetic surgery as irredeemably oppres-sive, Davis claims that those women who opt for cosmetic surgery are not blindlysubmitting to the dictates of patriarchal ideology but are actively engaging withit, knowledgeable of its drawbacks as well as its benefits. While they are aware ofits problematic aspects, nevertheless they see these as being outweighed by the

    Body & Society © 2002 SAGE Publications (London, Thousand Oaks and New Delhi),Vol. 8(4): 21–42[1357–034X(200212)8:4;21–42;028510]

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  • enhanced sense of self-esteem and power that eventuates. She believes then, that,under certain circumstances, the decision to undergo cosmetic surgery canactually be an act of empowerment rather than of oppression.

    Others go even further than Davis in advocating the redeployment of cosmeticsurgery for feminist purposes. Both Kathryn Morgan (1991: 44–7) and AnneBalsamo (1996: 78–9) for instance, although highly critical of the mainstreamemployment of cosmetic surgery, consider the possibility of its use as a tool bywomen seeking to subvert the dominant patriarchal ideals of feminine beauty.According to Balsamo, while cosmetic surgery has been applied in such a way asto produce bodies that are very traditionally gendered, there is also the potentialfor it to be used ‘as a vehicle for staging cultural identities’ (p. 78). In her view,the surgical re-fashioning of the body opens up the possibility of highlighting theartificial or culturally constructed nature of beauty, undermining neo-romanticconceptions of the body as ‘natural’. Although cosmetic surgery as it is currentlypractised, presents the surgically altered body as ‘natural’ by disguising all tracesof its intervention, Balsamo envisages a surgical practice which openly acknow-ledges rather than disavows its role in the reconstruction of the body.

    Similarly, Morgan argues that cosmetic surgery can be employed in a sub-versive way by demonstrating the artifactual nature of the body. She proposes theuse of cosmetic surgery to produce what the culture constitutes as ‘ugly’ so as todestabilize the ‘beautiful’ and expose its technologically and culturally constitu-tive origin and its political consequences. She also sees cosmetic surgery as havinga liberatory potential insofar as it can be used to destabilize notions of the subjectas fixed and immutable. Following Judith Butler, she regards the disruption ofstable bodily contours as an important precondition for the undermining ofrepressive gender constructs.

    While such proposals may seem far-fetched, they have been realized in practiceby the French performance artist Orlan, who has undergone a series of opera-tions to modify her face and body in ways that contravene established norms offeminine beauty.

    The concern of this article is to critically appraise this ‘rehabilitation’ ofcosmetic surgery within recent feminist theory and practice and to considerwhether in fact it does provide a viable means for destabilizing patriarchal idealsof feminine appearance. I shall begin my discussion with a consideration ofDavis’s guarded ‘defence’ of cosmetic surgery before examining the more radicalproposals of Balsamo, Morgan and Orlan.

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  • Cosmetic Surgery is not an Act of Empowerment

    Davis argues in her book Reshaping the Female Body: The Dilemma of CosmeticSurgery (1995) that it is far too simplistic to regard cosmetic surgery as a per-nicious horror inflicted by the medical system upon women’s bodies, and to treatthose women who undergo it as nothing more than misguided or deluded victims(1995: 56–67, 159–81). In her view, such a conception of the practice of cosmeticsurgery is problematic for a number of reasons. First, it fails to take into accountwomen’s active and lived relation to their bodies, treating them rather as disem-bodied robots who passively submit to the patriarchal ideals of feminine beautyin an unthinking and uncritical way. However, her interviews with women whoelected to have cosmetic surgery revealed that they were reasonably well-informed about the risks involved and were also aware of the moral dilemmas towhich such a practice gives rise. Most were highly critical of the cult of femininebeauty within contemporary Western society, and of the role that cosmeticsurgery had played in reinforcing such an emphasis on physical attractiveness, andsaw themselves as undergoing cosmetic surgery not in order to conform withpatriarchal ideals of beauty but rather to re-fashion their bodies so that they weremore in accord with how they saw themselves. Those women who elected to havecosmetic surgery did so because they felt a profound sense of estrangement fromtheir bodies; for them the operation enabled the achievement of a more embodiedsense of self where the psychic and physical self were more integrated with eachother. According to Davis:

    Cosmetic surgery was presented as part of a woman’s struggle to feel at home in her body – asubject with a body rather than just a body. Paradoxically, cosmetic surgery enabled thesewomen to become embodied subjects rather than objectified bodies. (1995: 161)

    On the whole, the women who underwent cosmetic surgery were sceptical of itas a general remedy for women’s dissatisfaction with their appearance, regardingit rather as the lesser of two evils in their own particular circumstances whereother options for dealing with their problems were not available.

    Davis goes on to point out that these women did not undergo such surgery atthe behest of their husbands or their male surgeon. Indeed, in most cases thewomen’s decision to have cosmetic surgery met with strong opposition from theirmale partners. Far from being an act of submission to outside pressures then, thewomen saw their decision to have cosmetic surgery as an act of self-assertion –as one of the few occasions when they exercised some control over their owndestiny. Many reported experiencing a feeling of elation after undergoing suchsurgery – an experience radically at odds with the conception of cosmetic surgeryrecipients as passive victims. Even when the results of the surgery did not come

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  • up to expectations, and in some cases produced serious side effects and dis-figurement, the women did not express regret at their decision to have cosmeticsurgery but saw it as an act of self-empowerment undertaken with knowledge ofthe risks involved.

    Davis argues, then, that rather than seeing these women as blindly followingthe dictates of patriarchal ideology, it would be more accurate to regard them asactively negotiating with the practice of cosmetic surgery in ways which arebeneficial to them. Against the total condemnation of cosmetic surgery by otherfeminists then, she contends that the practice has a legitimacy under certaincircumstances. As she writes:

    Cosmetic surgery is not about beauty but about identity. For a woman who feels trapped in abody which does not fit her sense of who she is, cosmetic surgery becomes a way to renegoti-ate identity through her body. Cosmetic surgery is about exercising power under conditionswhich are not of one’s own making. In a context of limited possibilities for action, cosmeticsurgery can be a way for an individual woman to give shape to her life by reshaping her body.(1995: 163)

    Rather than adopting an attitude of moralistic condemnation towards recipientsof cosmetic surgery then, Davis urges a re-evaluation of the practice of cosmeticsurgery which is more respectful of the reasons given by the recipients themselvesfor undertaking it. In her view, cosmetic surgery should not be seen simply as yetanother instance of the subjugation of women, but as a more contradictoryphenomenon than this – both ‘symptom of oppression and act of empowermentall in one’ as she puts it (1997: 169).

    Davis’s qualified defence of the practice of cosmetic surgery, however, is prob-lematic in a number of respects. First, in her concern to grant at least a partiallegitimacy to cosmetic surgery as a means of overcoming women’s problems ofidentity, Davis tends to lose sight of the fact that such a ‘solution’ leaves unad-dressed the causes for women’s dissatisfaction with their bodies in the first place.Although Davis is not unaware of the social structures of gender inequality thatgive rise to women’s sense of estrangement from their bodies, these are bracketedout of consideration in her analysis of the reasons why women undergo cosmeticsurgery. Consequently, she individualizes the problem of women’s self-identity,focusing on how particular women cope with this dilemma within the parametersof the given system without considering how the parameters themselves can bechallenged or undermined. Indeed, she tends to be dismissive of strategies whichseek to challenge the systemic and structural causes for women’s experience ofdisembodiment as being utopian, and for failing to address in any immediate waythe problems confronted by individual women. As she writes:

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  • While feminist visions of a surgery-free future are comforting, they can also close our eyes tothe less dramatic instances of resistance, compliance, or discursive penetration which are partand parcel of any social practice. Our alternatives become nothing more than utopian – leavingus little to say of relevance concerning women’s lived relationships to their bodies . . . (1995:180)

    Against this, however, it needs to be pointed out that, while cosmetic surgery mayappear to offer some sort of short term ‘remedy’ to women’s problems of self-estrangement, it can actually hinder the progress towards any lasting solutions bydeflecting attention away from the underlying causes for women’s dissatisfactionwith their bodies. As long as women can find solace in surgical solutions to theirproblems of self-identity, there is the very real possibility that they will be lessinclined to tackle the social and cultural factors responsible for the experience ofalienation from their bodies in the first place. The limitation of cosmetic surgeryis that it offers a technological solution to a social problem. As Sander Gilmanpoints out (1999: 19), with the development of cosmetic surgery at the end of the19th century, the Enlightenment belief in the ability of individuals to transformthemselves, which had originally been articulated as a social and political task,came to be redefined in biological and medical terms. This had the effect ofshifting the locus of change from the transformation of social structures to trans-forming the body itself. To quote Gilman:

    The political ‘unhappiness’ of class and poverty, which led to the storming of the Bastille, cameto be experienced as the ‘unhappiness’ found within the body. . . . In the former, it was revol-utionary change that would cure the body; in the latter, it was the cure of the individual bywhich the unhappiness would be resolved. (1999: 19)

    From this perspective then, far from providing instances of piecemeal resistanceto the dominant ideology, the practice of cosmetic surgery can actually be seen toreinforce it by providing women with a solution to their problems of self-identitywhich does not necessitate any challenge to the social and political parameters ofthe beauty system itself. Thus, while individual women themselves may not seetheir resort to cosmetic surgery as a submission to patriarchal ideology but as anact of self-empowerment, it is a conservative practice insofar as it leaves un-addressed the underlying causes for women’s poor body image. The decision tohave cosmetic surgery is an individualistic ‘solution’ that does nothing to tacklethe broader social problem as to why women should feel dissatisfaction with theirappearance in the first place. While one can understand how, under certaincircumstances, plastic surgery may appear to be the most rational solution for awoman, it is important not to lose sight of the limitations of this solution, andalso to consider ways of tackling the social and cultural factors which are

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  • responsible for women’s estrangement from their bodies rather than treating themas unchangeable givens.

    In pointing to the ultimately conservative effects of cosmetic surgery, theintention is not to be dismissive of the reasons why individual women undergoit. Rather, it is to make clear the disjuncture between the individual and socialconsequences of such a practice. What may be a solution for a particular indi-vidual in certain circumstances may not be so at the social level, insofar as it stillleaves intact the structures of gender inequality that present women with fewoptions but to have plastic surgery. The criticism of the practice of cosmeticsurgery, then, is not directed at the individual women who undergo it, but ratherat the social and cultural system which engenders in women a state of permanentdissatisfaction with their physical appearance. The point is not to morallycondemn those women who choose to have cosmetic surgery, but rather, toexpose the inequities of a society which necessitates such a practice in the firstplace.

    The source of Davis’s neglect of the structural/systemic factors underlyingwomen’s dissatisfaction with their bodies is her concern to give due weight to theagency of individuals – a concern which she shares with a number of recent post-structuralist theorists who have found unsatisfactory the previous models ofpower as monolithic and oppressive. However, while she is correct to point outthe inadequacies of a conception of human subjects as totally passive victims, shetends to overstate the degree to which individuals are able to actively intervene inthe system and construct meanings that run counter to those of the dominantideology. While individuals certainly do reinterpret cultural practices in wayswhich are at odds with their dominant meanings, the fact remains that somemeanings continue to have predominance over others because not everyone hasequal access to or control over the resources needed to realize their interpre-tations.

    Susan Bordo makes a similar point in the introduction to her book Unbear-able Weight (1993). Critical of the tendency by a number of recent post-structuralist theorists to over-emphasize the degree of creative agency exercisedby individuals, she points out that, while it is too simplistic to regard individualsas cultural ‘dopes’, nevertheless there are still significant constraints on the degreeto which individuals can subvert the dominant ideology. As she writes:

    . . . the fact that cultural resistance is continual does not mean it is on an equal footing withforms that are culturally entrenched. . . . [I]n contemporary Western constructions of beautythere are dominant, strongly ‘normalizing’ (racial and gendered) forms to contend with. Tostruggle effectively against the coerciveness of those forms it is first necessary to recognize thatthey have dominance, and not to efface such recognition through a facile and abstractcelebration of ‘heterogeneity’, ‘difference’, ‘subversive reading’ and so forth. (1993: 29)

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  • She continues:

    Some forms of postmodern feminism . . . are distressingly at one with the culture in celebratingthe creative agency of individuals and denying systemic pattern. It seems to me that feministtheory has taken a very strange turn indeed when plastic surgery can be described, as it has beenby Kathy Davis, as ‘first and foremost . . . about taking one’s life into one’s own hands’. (1993:31)1

    Thus, while women who undergo cosmetic surgery may seek to have changeswhich do not conform to patriarchally and racially defined norms of femininebeauty, nevertheless, the degree of control that they have in defining the natureof the facial or bodily modifications they desire is limited. Ultimately, they are inthe hands of surgeons whose training has been based on a white, Western ideal ofbeauty. As Balsamo points out (1996: 58–63), although they work with faces thatare individually distinct, surgeons use the codified measurements that are laid outin their training manuals as guidelines for determining treatment goals andattempt to bring the distinctive face into alignment with artistic ideals ofsymmetry and proportion. These ideals, as Balsamo shows, are based on a white,Western aesthetic of feminine beauty. In this regard she cites (1996: 59) the volumeProportions of the Aesthetic Face published by the American Academy of FacialPlastic and Reconstructive Surgery and widely used by plastic surgeons. Thepurpose of this book, according to its authors, is to document objectively theguidelines for facial symmetry and proportion. In actual fact, however, the ‘idealface’ depicted throughout this book is of a white woman whose face is perfectlysymmetrical in line and profile. The only illustration of a male face is containedin the glossary. Furthermore, while the authors acknowledge that ‘bone structureis different in all racial identities’ and that ‘surgeons must acknowledge that racialqualities are appreciated differently in various cultures’, in the end they argue that‘the facial form [should be] able to confer harmony and aesthetic appeal regard-less of race’ (quoted in Balsamo, 1996: 60). Implicitly, then, the authors suggestthat non-white faces can be evaluated in terms of ideal proportions determinedby the measurement of Caucasian faces. This point is reinforced by Gilman, who,in his book Making the Body Beautiful (1999), develops at great length the racialassumptions behind Western ideals of beauty. It is not surprising, then, that it israre for cosmetic operations to depart radically from white, Western ideals offeminine beauty, even where the patients themselves desire an appearance thatdoes not conform with such conventions.

    Morgan points out the paradox of women’s use of cosmetic surgery as a meansof escaping the constraints of the ‘given’. As she argues (1991: 38), while womenseek to gain independence through this process, the net result is an increasingdependence on male assessment and on the services of all those experts they

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  • initially bought to render them independent. Likewise, Gilman observes: ‘Whenwe turn to the physician, we demonstrate our autonomy and abdicate it simul-taneously’ (1999: 334). Another paradox arising out of the practice of cosmeticsurgery, which Davis overlooks, is that while it ostensibly enables women to feelan embodied sense of self, at the same time it is premised on the very alienationfrom the body it is supposed to overcome. For what makes possible such apractice in the first place is a separation of the mind from the body, in which thebody is seen as something that can be manipulated at will. As Balsamo (1996:56–7) points out, plastic surgery is premised on a distanciation from the body,which is viewed as an object that can be fragmented into isolated parts, capableof transformation. Davis herself acknowledges this, in her account of particularcase studies where the recipients compartmentalized their bodies into segments,some of which they regarded as satisfactory, while others were in need of remedialwork. As she writes, with each woman she interviewed:

    Hated body parts were dissociated from the rest of her body as objects – ‘those things’,‘mountains of fat’, ‘sagging knockers’. They were described as pieces of flesh which had beenimposed upon her – inanimate and yet acting against her. They became something which eachwoman wanted to, literally, cut out of her life. (1995: 74)

    And the sense of self-embodiment apparently achieved after cosmetic surgery wasalso subsequently qualified by some recipients, for example, Diana, of whomDavis writes: ‘Cosmetic surgery may have transformed her into “just a nice face”,but she retains the emptiness and sense that she will never be “completely one”with herself’ (1995: 108).

    It appears, then, that the notion of cosmetic surgery as an act of self-empower-ment needs to be treated with more circumspection than Davis does, despite allthe qualifications she makes to her defence of this practice.

    While Davis provides a guarded support for the practice of cosmetic surgeryas a way for individual women to alleviate the suffering endured from theirexperience of alienation from their bodies, she stops short of advocating itsredeployment as a political weapon to challenge dominant ideals of femininebeauty.2 However, a number of feminists have recently canvassed such a possi-bility, including Morgan, Balsamo and Orlan. It is to them that I now turn.

    Cosmetic Surgery is not a Tool of Political Critique

    Although Morgan and Balsamo are highly critical of cosmetic surgery as it iscurrently practised, they see a potential for its redeployment for feministpurposes. For both Morgan and Balsamo, the revolutionary potential of cosmeticsurgery lies in its capacity to highlight the fact that the body is a cultural construct

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  • rather than a natural entity, which is fixed and immutable. They see it as a toolthat can be used to deconstruct the notion of a unified and unchanging self,replacing it with a performative conception of the self as being in a constant stateof transmutation.

    Influential for both Morgan and Balsamo have been the ideas of DonnaHaraway, particularly her championing of the figure of the cyborg – half-humanand half-machine – as the new model for a liberated conception of the self (1991:149–81). Traditionally, in Western culture, the body has been regarded as abiological given whose organic integrity is inviolable. It has been associated withthe innate, the immutable or the God-given. However, the advent of new bio-technologies such as IVF, genetic engineering and cosmetic surgery, whichprovide us with an unprecedented capacity to intervene in and re-fashion ourbodies, has radically changed our conception of the body as an unalterable fact ofnature. Rather than being seen as determined by nature, the body is increasinglycoming to be regarded as a social and cultural construct, capable of radical trans-formation. Against those who seek to preserve the integrity of the body from theencroachment of technology, Haraway argues that such interventions can beproductive of fruitful new conjunctions, which disrupt the rigid oppositionsbetween human/machine, nature/culture, male/female, etc. – dualisms that havebeen ‘systemic to the logics and practices of domination of women, people ofcolour, nature, workers and animals’ (1991: 177). While there are some feministswho decry the technological intervention into women’s bodies,3 Harawaybelieves that women should embrace these technologies and learn to use them fortheir own ends. If they refuse to do so, they run the risk of reiterating thetraditional patriarchal binarism which aligns women with nature and opposesthem to culture. As Haraway writes:

    From one perspective, a cyborg world is about the final appropriation of women’s bodies in amasculinist orgy of war. From another, a cyborg world might be about lived social and bodilyrealities in which people are not afraid of their joint kinship with animals and machines, notafraid of permanently partial identities and contradictory standpoints. The political struggle isto see from both perspectives at once because each reveals both dominations and possibilitiesunimaginable from the other vantage point. (1991: 154)

    In opposition to the idea of organic holism, then, Haraway argues for a notion ofthe body as a hybrid entity whose contours are permeable and constantlymutating as it enters into new linkages with the non-organic. Rather than treatingtechnology as the enemy, it should be regarded as an aspect of our embodiment.She sees such a conception as underpinning a new understanding of the self asfluid and open to constant change rather than as fixed and immutable and goesso far as to entertain the possibility of a post-gender world where gender distinc-tions will be transcended.4

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  • Balsamo and Morgan both believe that cosmetic surgery could be one meansby which the organic unity of the subject could be destabilized. Already incontemporary society, as Balsamo notes, the body and technology are conjoinedin a literal sense – machines assume organic functions and the body is materiallyredesigned through the application of newly developed technologies. She writesthat:

    . . . the ‘natural’ body has been dramatically re-fashioned through the application of new tech-nologies of corporeality. By the end of the 1980s the idea of the merger of the biological withthe technological has infiltrated the imagination of Western culture where the ‘technologicalhuman’ has become a familiar figuration of the subject of postmodernity. . . . This merger relieson a re-conceptualisation of the human body as a ‘techno-body’, a boundary figure belongingsimultaneously to at least two previously incompatible systems of meaning – the‘organic/natural’ and the ‘technological/cultural’. (1996: 5)

    With the widespread technological re-fashioning of the ‘natural’ human body, shesuggests, there is a potential for gender boundaries to be blurred or reconstructed.While she acknowledges that, at present, bio-technologies such as cosmeticsurgery are employed to vigilantly guard gender boundaries and to present themas natural rather than as culturally constructed, nevertheless, they offer the possi-bility for radically redefining who we are (1996: 78–9). Instead of effacing itsintervention in the reconstruction of bodies as it currently does in an endeavourto create a ‘natural’ look, cosmetic surgery could be employed in such a way asto emphasize the artificiality of beauty and to disrupt the present cultural codingof the female body as ‘natural’. It offers the possibility of new forms of embodi-ment which defy the natural givenness of physical gender identity. The surgicallyre-fashioned face and body need not necessarily be the mark of an oppressedsubjectivity, according to Balsamo, but could be used as a way of challengingpatriarchal conceptions of beauty as exemplified by the anti-aesthetic of cyber-punk (where body piercing and other forms of prosthesis are employed) andgrunge fashion.

    Like Balsamo, Morgan considers that cosmetic surgery could be a useful meansfor unmasking the dominant ideals of feminine beauty as cultural artefacts ratherthan as natural properties of the female body (1991: 44–7). She sees it as havingthe potential to destabilize the naturalized categories of masculinity and feminin-ity by highlighting the fact that gender is a performance rather than a biologicallydetermined given. Employed in a parodic way, the techniques and procedures ofcosmetic surgery could be used to magnify the role that technology plays in theconstruction of femininity. One way in which this could be achieved would bethrough the use of surgical techniques to produce what is normally perceived asugly (e.g. sagging breasts and wrinkles), thereby upsetting the cultural constraints

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  • upon women to comply with the norms of beauty and throwing into questionwhat is traditionally considered as beautiful. In reply to the objection that havingoneself surgically ‘disfigured’ as a political statement seems rather extreme,Morgan argues that:

    . . . if we cringe from contemplating this alternative, this may, in fact, testify . . . to the hold thatthe beauty imperative has on our imagination and our bodies. If we recoil from this lived alter-ation of the contours of our bodies and regard it as ‘mutilation’, then so, too, ought we to shirkfrom contemplation of the cosmetic surgeons who de-skin and alter the contours of women’sbodies so that we become more and more like athletic or emaciated (depending on what’s invogue) mannequins with large breasts in the shop windows of modern patriarchal culture. Inwhat sense are these not equivalent mutilations? (1991: 46)

    As more women gain knowledge of the techniques of cosmetic surgery, so itbecomes possible for them to usurp men’s control over these technologies andundermine the power dynamic which makes women dependent on male exper-tise.

    While Balsamo and Morgan have canvassed the possibility of the feminist rede-ployment of cosmetic surgery in theory, the French performance artist Orlan hassought to do this in practice. In 1990 she embarked on a project, The UltimateMasterpiece: The Reincarnation of Saint Orlan, involving a number of cosmeticsurgery operations designed to transform her face in ways that destabilized male-defined notions of idealized female beauty (see Hirschhorn, 1996: 110–34, for auseful account of Orlan’s practice). In an endeavour to convert plastic surgeryfrom an instrument of domination into a means for re-inventing her own bodyand creating her own self-portrait, Orlan produced her own blueprints for thesurgeons to follow. She also refused a general anaesthetic so that she could stage-manage the actual operations themselves, transforming what is normally a medicalprocedure carried out behind closed doors into a theatrical performance whichfeatured the reading of psychoanalytic and literary texts, interactive communi-cation with an often international audience via fax and live satellite telecast, music,dance and outlandish costumes often designed by famous couturiers.

    Her blueprints consisted of computer composites, combining her own facialfeatures with those derived from five famous Renaissance and post-Renaissanceimages of women – the nose of an unattributed sculpture of Diana from the schoolof Fontainebleau; the mouth of Boucher’s Europa; the forehead of da Vinci’sMona Lisa; the chin of Botticelli’s Venus and the eyes of Gérôme’s Psyche. Theserepresentations were chosen not just for their physical attributes but also for theirmythological or historical importance. Thus, Diana was selected because she wasa goddess who refused to submit to the gods and men; Europa because she lookedto another continent and embraced an unknown future; the Mona Lisa because

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  • of her androgyny; Venus because of her association with fertility and creativity;and Psyche because of her desire for love and spiritual beauty.

    While these five works have traditionally been regarded as icons of femininebeauty, Orlan sought to transform their original significance through her appro-priation and re-contextualization of their facial features. Thus, whereas main-stream cosmetic surgery tends to erase the distinctive features of individual facesin an endeavour to make them conform with a prototypical image of the ideal,Orlan’s composite face emphasizes what is unique and idiosyncratic to each face.By combining distinctive elements from each face, she seeks to disturb the notionof the perfected, the fixed and the standardized, producing a result which is atodds with conventional ideals of beauty. As Moss puts it:

    . . . [Orlan] (re)imagines an image under different circumstances from the artist’s originaryimpulse and reappropriates and dissimulates constituents of the ideal face feature by feature. Sheundoes her face in an alternate visioning and estranges, makes strange, each master’s imagisticaccretions – memory, fantasy, fetish, story and the rhetoric of woman and beauty. (1999: 1–2)

    Orlan’s disruption of conventional ideals of feminine beauty is even moreapparent in her seventh, eighth and ninth operations – known as her ‘Omnipres-ence’ series – which involved implants into the upper cheeks and the sides of theforehead to give the impression of budding horns.

    An important element of Orlan’s project is the making public of the actualoperation and its immediate aftermath. As well as televising the surgical processitself, Orlan has produced a series of post-operative photographs revealing all thebruising and wounds from her surgery, and also a series of ‘reliquaries’ consist-ing in ‘souvenirs’ from her operations such as blood-stained gauze, bits of herbone and fat removed through liposuction. Her purpose here is to confront allthose taboos that surround the violation of the integrity of the body in Westernculture.

    What is particularly disturbing about her work is that the main site of thisviolation is her face, which, in Western culture, is taken as emblematic of our self-identity. As Deleuze and Guattari argue (1988: 167–91), only in the West do weoperate with a conception of the face as the seat and expression of a unique subjec-tivity. In our culture, the face is deemed the most precious characteristic of humanidentity and therefore enjoys a privileged status in relation to the rest of the body.It becomes the site of signification and subjectification. To quote them:

    Certain assemblages of power (pouvoir) require the production of a face, others do not. If weconsider primitive societies, we see that there is very little that operates through the face: theirsemiotic is nonsignifying, nonsubjective, essentially collective, polyvocal and corporeal, playingon very diverse forms and substances. (1988: 175; emphasis in original)

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  • They continue: ‘Paintings, tattoos, or marks on the skin embrace the multi-dimensionality of bodies. Even masks ensure the head’s belonging to the body,rather than making it a face’ (1988: 176). By contrast, in the West, bodies aresubject to what they call a process of ‘faciality’ whereby they are constituted asunique subjects endowed with psychic interiority through the imposition of theconcept of the ‘face’ upon them.

    The operations undergone by Orlan, where the face is literally peeled awayfrom the body, radically unsettles this identification of self with face, asHirschhorn argues (1996: 128–9). This is reinforced by the text that she reads atthe beginning of each of her operations – an excerpt from Eugenie LemoineLuccioni’s book The Dress (quoted in Moss, 1999: 10):

    Skin is deceiving . . . in life, one only has one’s skin . . . there is a bad exchange in human relationsbecause one never is what one has. . . . I have the skin of a crocodile but I am a poodle, the skinof a black person but I am a white, the skin of a woman, but I am a man; I never have the skinof what I am. There is no exception to the rule because I am never what I have.

    Furthermore, the constant re-configurations of her face to incorporate a pasticheof elements derived from other faces, highlight the socially constructed nature ofthe face and undermine any notion of identity as stable and unified (Griggers,1997: 29–30, makes this point). As Moss comments à propos of Orlan’s practice:

    Through her transgression of facial boundaries Orlan confronts each spectator’s understandingsand psychical investment in the face as a site for the imaging of self. Orlan’s disruptive practicenegates the social inscriptions of power that accept or deny the non-conforming face. Her faceis a non-face, multiple, shifting and hybridised from different visions and competing imagin-ings. (1999: 3)

    The totally artificial and fluctuating nature of Orlan’s face is reinforced by heradoption of the name Orlan, which, as Moss points out: ‘evokes allusions to thesynthetic – the material Orlon, to masquerade – the French cosmetic brandOrlane, to gender fluidity – the Maid of Orleans (Joan of Arc) and VirginiaWoolf’s Orlando, and the malleability of gold – d’or’ (1999: 2). Far from denotinga particular identity, her name connotes its infinite malleability.

    As with Balsamo and Morgan, then, the employment of cosmetic surgery byOrlan is seen by interpreters of her work as subversive insofar as it ‘de-natural-izes’ the body and de-stabilizes the fixity of identity. Such a defence of cosmeticsurgery presents a marked contrast to that of Davis. Whereas, for Davis, the valueof cosmetic surgery lies in its ability to enable some women to achieve a sense ofself-embodiment, for Balsamo, Morgan and Orlan, its value lies precisely in itsdisarticulation of the unity of the self.5 The question still remains, however, as towhether such a re-deployment of cosmetic surgery is as emancipatory as itpurports to be.

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  • One of the main problems arising out of the conceptualization of cosmeticsurgery as an instrument enabling ‘the staging of cultural identities’ is that it failsto give due weight to the materiality of the body. This is something of a paradox,given the criticisms that postmodern theorists have made of mainstream philos-ophy and social theory for their neglect of the body. While the body has movedcentre-stage in postmodern theory, its existence as a natural/physical entity hasbeen all but totally erased by its conceptualization as a social and culturalconstruct. In rejecting the notion of the body as a biological given determined bynature, postmodern theorists have swung to the other extreme in regarding thebody as almost infinitely malleable. Thus, for instance, Orlan goes so far as to saythat, with the advent of technologies such as cosmetic surgery, which enable theradical re-fashioning of the body, the natural body is obsolete (Hirschhorn, 1996:120). She describes her body as ‘a sack or costume to be shed’ (Rose, 1993: 86),declaring that her work ‘is a struggle against: the innate, the inexorable, theprogrammed, Nature, DNA (which is our direct rival as . . . artists of represen-tation) and God!’ (cited in Goodall, 1999: 152). In doing so, she accepts uncriti-cally the idea that technology can transcend all bodily limits and tends todownplay the fact that we are defined by certain inescapable biological constraintsand processes, such as ageing and dying, which, although culturally mediated,cannot be eliminated. While Jane Goodall (1999: 152) defends Orlan’s declarationof the obsolescence of the body as a radical undermining of the patriarchalidentification of women with their bodies, I would argue that it partakes ofanother patriarchal myth – namely that of the transcendence of nature throughtechnology.6

    Likewise, Haraway’s notion of the cyborg, in which the natural and the arti-ficial are indistinguishable, encourages a view of the transcendence of the naturalbody by technology. As she writes: ‘Any objects or persons can be reasonablythought of in terms of disassembly and reassembly; no “natural” architecturesconstrain system design’ (1991: 162). Contrary to Balsamo’s claim (1996: 33–4)that Haraway’s notion of the cyborg reasserts the materiality of the body insofaras it does not treat the body simply as a discursive construct as some versions ofpostmodern theory do, I would argue that it perpetuates the de-materializationof the body in its treatment of it as not subject to any material limits. Rather thanovercoming the dichotomy between the human and the machine, what hasoccurred with the figure of the cyborg is a reduction of the human to the machine,where the body is treated as a non-sentient thing that can be manipulated in thesame way as inorganic matter. Symptomatic of this is the replacement of organicby mechanical metaphors in post-structuralist discussions of the body,

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  • particularly in the writings of Deleuze and Guattari who speak of bodies as‘assemblages’, ‘desiring machines’, etc. As they write:

    There is no such thing as either man or nature now, only a process that produces the one withinthe other and couples the machines together. Producing-machines, desiring-machines every-where, schizophrenic machines, all of species life: the self and the non-self, outside and inside,no longer have any meaning whatsoever. (1983: 2)

    Thus, despite the great preoccupation with the body in postmodern theory, thereis at the same time, a profound estrangement from it. ‘The body becomes an alien-ated product . . . from which we maintain a strange and ironic detachment’, asBordo puts it (1993: 288). This is made quite explicit by Orlan, who regards herbody as mere matter which can be manipulated at will. As she herself says, shehas always felt distanced from her body and consequently is somewhat indiffer-ent to the image produced by it (Hirschhorn, 1996: 122). In contrast to JulieClarke (1999: 188), who interprets Orlan’s operations as a reinstatement of thecorporeality of the body in an age where the electronic imaging and coding of thebody has all but displaced ‘real’ flesh and blood, I see Orlan’s work as perpetu-ating this postmodern alienation from the body. For while Orlan alters her bodyin a directly physical way (rather than simply through virtual manipulation), herpractice in no way undermines the belief that the body is almost infinitelymalleable.7 Likewise Balsamo, although apparently more circumspect than Orlanwith regard to the technological transcendence of the ‘natural’ body (1996: 2,77–8), proposes that cosmetic surgery be thought of as ‘fashion surgery’ (1996:78) – a suggestion which implies that it is just as easy to surgically transform thebody as it is to change the clothes one wears.

    As a result of this neglect of the materiality of the body, there is a tendency todiscount the risks and suffering involved in the practice of cosmetic surgery. AsMorgan comments for instance: ‘although submitting to the procedures ofcosmetic surgery involves pain, risks, undesirable side effects . . . it is also fairlyclear that, most of the time, the pain and risks are relatively short-term’ (1991:50).8 Similarly, Orlan is quite nonchalant about the pain she endures, declaringthat the audience experiences more pain watching her undergoing surgery thanshe does. However, as Davis points out:

    This nonchalance is belied by the post-operative faces of the artist – proceeding from swollenand discoloured to, several months later, pale and scarred. Whether a woman has her wrinklessmoothed out surgically or carved in has little effect on the pain she feels during the surgery.Such models, therefore, presuppose a non-sentient female body – a body which feels no pain.(1997: 178)

    The fact that Orlan has had one botched operation is also glossed over by her.

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  • Another problem arising from the promotion of the surgical re-styling of thebody by Balsamo, Morgan and Orlan is that they overlook the extent to whichthis is complicit with the commodification of the body within contemporaryconsumer culture. As Joanne Finkelstein has pointed out, with the increasingavailability of surgical and other techniques for altering appearance, the body hascome to be treated as a commodity in constant need of upgrading. In her words:‘It is as if the body were a utensil – a car, a refrigerator, a house – which can becontinuously upgraded and modified in accord with new interests and greaterresources’ (1991: 87). Similarly, Bordo points out the resemblance between thepost-structuralist conception of the body as infinitely transformable and thecosmetic surgery industry’s advocacy of the idea of the body as something whichcan be sculpted at will. Writes Bordo:

    Gradually and surely, a technology that was first aimed at the replacement of malfunctioningparts has generated an industry and an ideology fuelled by fantasies of rearranging, transform-ing and correcting; an ideology of limitless improvement and change, defying the historicity, themortality and indeed, the very materiality of the body. In place of that materiality we now havewhat I will call the cultural plastic. . . . This disdain for material limits and the concomitantintoxication with freedom, changes and self determination are enacted not only on the level ofthe contemporary technology of the body but in a wide range of contexts including muchcontemporary discourse on the body, both popular and academic. (1993: 245–6)

    Contrary to Goodall’s claim (1999: 157) that the idea that one can remake one’sown body according to one’s own will is deeply heretical, such a belief is nowwidely endorsed and promoted by the fashion industry. While once it posed afundamental challenge to Christianity’s belief in the inviolability of the divinelycreated human form, such a conviction no longer has wide currency.

    Even though Balsamo, Morgan and Orlan envisage a different mode of self-transformation from that currently practised by the cosmetic surgery industry,nevertheless they still remain within the same parameters insofar as they treat thebody as an instrument to be continuously modified through technological means.Indeed, Morgan suggests the establishment of ‘Beautiful Body Boutique’ fran-chises to advertise and market a range of services and products for body modifi-cation which parody those currently offered by the cosmetic surgery industrysuch as freeze-dried fat cells for fat implantation and transplant (1991: 46). Whileher intention here is subversive of the mainstream cosmetic industry, neverthelessit still participates in the commodification of the body. Likewise, the convergencebetween Orlan’s attitude towards the body and that of the fashion industry isindicated by the fact that her practices of body modification are starting to beemulated by some in the fashion world (as pointed out by Ayers, 1999: 180). Inthe process, she, like Morgan and Balsamo, leaves unexamined the question as to

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  • why it is that the body has become so significant to our self-identity and theconsequences of this.

    As Giddens points out (1991: 5–8, 99–102), it is only under the conditions ofhigh modernity that the body has become a self-reflexive project, integral to oursense of who we are. Whereas in traditional societies, the body was regarded aspart of nature, only marginally subject to human intervention, in contemporaryWestern society, we have become responsible for the design of our own bodies.As the body has moved away from the sphere of nature into the sphere of culture,the ‘natural’ functions of the body such as defecation, ageing and dying have beenincreasingly hidden from view. Furthermore, while in pre-modern societies, thebody modifications that did occur were governed by traditional, ritualizedmeanings, the body in modernity has been secularized and is more frequentlytreated as a phenomenon to be fashioned as an expression of an individual’sidentity rather than in accordance with some traditionally given system ofmeaning. This is particularly the case with women who, even more so than men,are defined in terms of their physical appearance.

    Shilling suggests (1994: 2–4) that this growing investment in the body asconstitutive of self-identity is symptomatic of the decline of transpersonalmeaning structures such as those offered by religion or by grand political narra-tives. In a context where there no longer exist shared systems of meaning whichconstruct and sustain existential and ontological certainties residing outside of theself, individuals have turned towards the body as a foundation on which to recon-struct a reliable sense of self. The commodification of the body within contem-porary Western society, then, is a consequence of this focus on the body as thesource of our identity. It also serves to reinforce this preoccupation with the bodyby promoting its constant transformation in accordance with the latest fashiontrends. Paradoxically, however, as our capacity to re-fashion our bodies increaseswith the advances in surgical procedures and other bio-technologies, our sense ofwho we are becomes less and less certain. As Shilling writes:

    We now have the means to exert an unprecedented degree of control over our bodies, yet weare also living in an age which has thrown into doubt our certainty of what our bodies are andhow we should control them. The basic dynamic working behind this paradox can be traced tothe reflexivity of modernity: the greater the knowledge we gain about our bodies and how tocontrol them, the more is our certainty undermined about what the body is and how it shouldbe controlled. (1994: 183)

    While science has provided us with the means by which to transform our bodies,it is unable to give us any guidance as to how these means should be employed.To quote Shilling once again: ‘As science facilitates greater degrees of interventioninto the body, it destabilises our knowledge of what bodies are and runs ahead of

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  • our ability to make moral judgements about how far science should be allowedto reconstruct the body’ (1994: 4).

    That is why, for many, the surgical re-fashioning of their bodies becomes anever-ending process, as they engage in an impossible search for an identity whichis forever beyond reach. Even in the case of a more critically engaged applicationof cosmetic surgery as advocated by Orlan et al., the process becomes an infiniteone of deconstruction of existing cultural identities without any clearly definedalternatives. Orlan has already undergone several operations and there appears tobe no end in sight.9 The continual transformations of identity promoted byOrlan, Balsamo and Morgan can be seen as a way of avoiding the issue of whowe are, rather than as offering a solution to it. Their refusal to embody anypositioned subjectivity at all simply defers indefinitely the necessity ofconfronting the question of self-definition. As such, it can be seen as a symptomof, rather than an answer to, the dilemmas to which bio-technologies such ascosmetic surgery have given rise. While a conception of the self as fixed andunchanging is stultifying, the advocacy of a constantly mutating self is equallydisabling, for, without a sense of continuity, it is impossible to act effectively inthe world (Best and Kellner, 1991: 211 and 290 develop this point further). AsFlax points out, the decentring of the subject is not wholly positive since it canlead to a dislocation from history and a sense of political and intellectual vertigoand paralysis (1991: 218–19). As a therapist, Flax is very much aware of the terrorthat literally decentred selves endure, as well as the limitations of the fragmentedand heterogeneous subjectivity of post-structuralist theory as a principle forhuman action.

    The irony of the postmodern attack on subjectivity is that it is occurringduring an era when women are beginning to experience themselves as ‘self-determining’ subjects for the first time. As Nancy Hartsock writes:

    Why is it, just at the moment in Western history when previously silenced populations havebegun to speak for themselves and on behalf of their subjectivities, that the concept of thesubject and the possibility of discovering/creating a liberating ‘truth’ become suspect? . . . Thepostmodern suspicion of the subject effectively prohibits the exploration of (a repressed)subjectivity by and on behalf of women. (quoted in Di Stefano, 1990: 75)

    Paradoxically, it is only those who already have a secure sense of their ownidentity who can afford to entertain the possibility of its dissolution. In the wordsof Nancy Miller (quoted in Modleski, 1991: 22), ‘only those who have it can playwith not having it’. As Morgan herself acknowledges:

    Women who are increasingly immobilised bodily through physical weakness, passivity, with-drawal and domestic sequestration in situations of hysteria, agoraphobia and anorexia cannotpossibly engage in radical gender performatives of an active public sort or in other acts by which

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  • the feminist subject is robustly constituted. In contrast, healthy women who have a feministunderstanding of cosmetic surgery are in a situation to deploy cosmetic surgery in the name ofits feminist potential for parody and protest. (1991: 45)

    This point is reiterated by Davis, who comments: . . . the visions presented by both Orlan and Morgan involve women who are clearly unaffectedby the crippling constraints of femininity. They are not dissatisfied with their appearance asmost women are; nor indeed do they seem to care what happens to their bodies at all. (1997:179)

    Finally, a further problem with the advocacy of cosmetic surgery as a politicalweapon is that it effaces the social inequalities within which such body trans-formations occur. As Bordo (1993: 247) points out, the surgical re-fashioning ofthe body is not an option that is equally available to everyone but requiresconsiderable economic means. As such, it is a rather ‘aristocratic’ form of revolt,which can only be engaged in by those who have the freedom from economicneed to be able to contemplate and realize different forms of embodiment.Likewise, Felski argues that economic privilege serves as a fundamental pre-requisite for the self-conscious experimentation with different forms of bodyappearance. As she writes: ‘The cultivation of a self consciously aestheticizedpersonality presumes a certain distance from the realm of immediate need; noteveryone can live life as a work of art’ (1995: 201).

    Conclusion

    As can be seen from the above then, the ‘rehabilitation’ of cosmetic surgery withinrecent feminist theory and practice is somewhat problematic. In the case of Davis,her guarded ‘defence’ of cosmetic surgery leaves unchallenged the social struc-tures of inequality responsible for women’s dissatisfaction with their bodies. Herconception of cosmetic surgery as a ‘solution’ in certain circumstances, ispremised on the acceptance of the parameters of the given system as unalterable.While Balsamo, Morgan and Orlan envisage a more radical deployment ofcosmetic surgery, which contravenes the conventions governing its present appli-cation, nevertheless, they too continue to operate within its terms in certainrespects. In particular, they share with the cosmetic surgery industry its instru-mentalization of the body as mere matter that is almost infinitely transformable.

    In making such criticisms, I am not speaking from the point of view of a nostal-gic Romanticism that argues for the preservation of the organic integrity of thebody, but simply sounding a cautionary note against uncritically embracing thecyborg as an emblem of a liberated humanity. While the notion of the

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  • organic/natural body ‘untainted’ by technology is untenable, so too is the notionof the cyborg where the distinction between the human and the machine iseffaced. At the same time as the simple refusal of all technological interventionsin the body is both unrealistic and undesirable, one should not lose sight of thedangers of placing too much faith in the surgical re-fashioning of the body.

    Notes1. Significantly, in her article ‘ “A Dubious Equality”: Men, Women and Cosmetic Surgery’ (2002),

    Davis pays much more attention to the social structures of gender inequality within which the tech-nologies, practices and discourses of cosmetic surgery operate than in her book (1995).

    2. Indeed, she is critical of this (see Davis, 1997: 176–80).3. Haraway has in mind here eco-feminists such as Carolyn Merchant, Susan Griffin, Audre Lorde

    and Adrienne Rich (see Haraway, 1991: 154, 174).4. Deleuze and Guattari (1983: ch. 1) advocate a similar re-conceptualization of the self. Like

    Haraway, they are opposed to the notion of the body as a unified organism, proposing instead theconcept of the ‘body without organs’ (following Artaud), where the body is no longer experienced asan integrated whole which is centrally organized, but as a series of non-hierarchically linked partswhich are constantly entering into linkages with other loosely connected assemblages – both humanand non-human, animate and inanimate. In contrast to the notion of the organism with hermeticallysealed boundaries, they propose a conception of a body that is forever open to new connections and isconstantly reconfiguring itself. In a world where there no longer appear to be distinct entities withclearly defined boundaries, the old binary oppositions between the human and the non-human, theanimate and the inanimate, subject and object, etc. are no longer relevant. All have the same ontologicalstatus. For them, a liberated practice is one that opposes all coagulations and rigidifications into a stableand unified entity. The aim should be to transcend identity and subjectivity, fragmenting and freeingup lines of flight, ‘liberating’ multiplicities, corporeal and otherwise, that identity subsumes under theone.

    5. Orlan is not entirely consistent on this point. As Davis points out (1997: n. 11, 180), while Orlanhas been cited as a model for postmodern notions of identity, she still at some points continues tooperate with a notion of the sovereign subject more akin to the existentialist concept of self than thatof Butler (1989).

    6. Elsewhere in the same article, Goodall puts forward a somewhat different argument suggestingthat Orlan’s rhetoric about transcending bodily limits should not be taken at face value, since therhetoric is belied by her actual performances which strip the dream of a ‘post-biological’ world of itsappeal through the grotesque display of the body’s interior (1999: 167). But if this was Orlan’sintention, why does she seek to glamorize her performances with lavish costumes and props, and toemphasize her apparent lack of suffering during her operations?

    7. As Clarke herself acknowledges later in her article (1999: 195), while on the one hand Orlanstresses corporeality by using her own body as the material for her art, on the other she disavows itthrough her re-creation of her body as text.

    8. Curiously, earlier on in the same article, where Morgan is developing her critique of mainstreamcosmetic surgery, she seems much more concerned about the risks associated with such a practice (1991:29).

    9. While Orlan’s most recent work involves computer manipulations of her image rather than actualphysical operations, she has indicated in a recent interview with Ayers (1999: 182–4) that she intendsto undergo further operations.

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  • Llewellyn Negrin is Senior Lecturer in and Head of art theory at the University of Tasmania. She haspublished a number of articles on fashioning the body and on the role of art and art institutions in post-modern culture in a variety of journals, including Philosophy and Social Criticism, Arena Journal,Theory, Culture & Society, the European Journal of Cultural Studies, Postcolonial Studies and Hecate.

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