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March 7, 1966


JAMA. 1966;195(10):863. doi:10.1001/jama.1966.03100100115041

We live in a "mammoriented" world. Breast size, within certain expanding limits, has become an aesthetic criterion. Among the ladies, the haves are envied by the have-nots. The latter, in an effort to increase their holdings, invest in exercise programs, hormone creams, skillfully constructed garments, and other expedients. And some women seek help from their physicians.

In attempts to enlarge breasts to socially more desirable dimensions, investigators have utilized many materials over a long period of time. None, however, offered the required characteristics of inertness and consistency. Then physicians began to explore the potential of the silicones in a variety of surgical applications, including the injection of liquid silicones to augment body tissues.1 The Japanese, in particular, used silicones extensively for cosmetic and prosthetic purposes, utilizing a silicone fluid with added animal and vegetable fatty acids.2

However, the early enthusiasm for these substances began to abate following the