Emotional Aspects of the Injection of Silicones with the Aim of Body Transformation
The human body is in the mind; it exists psychically. This means that in human experience, one’s own body exists subjectively, as a psychological phenomenon. We live our body, and the perception of it is determined by affective life, fantasy, and unconscious history. We construct the world in terms of our subjectivity, and the world we construct includes our body in relationship to the body of others. There is no human life without a body nor human body without psychological life.
All along different times and cultures, the body has been modified in its appearance and by means of dress. We are our body. This implies that the experience of the body becomes enigmatic and problematic and sets out questions on how the body is seen by others, on how it works internally. Aware of the gaze of others since the first moments after birth, we see ourselves reflected in their gaze, and we assess the degree of acceptance and reception depending on how we feel we are being seen.
Lesional and surgical interventions on the body to embellish it and for purpose of differentiation are known since antiquity. Scarification, deformation, tattoos, and diverse amputations are ancestrally practiced and have ornamental, liturgical, hierarchical or magical aims.
The greater the dissatisfaction with one’s own body, the less the capacity of integration of the personality. Dysphoric feelings are expressions of anxiety, a signal of internal conflict, insecurity, and inadequateness.
Those who provide the silicone or inject it act in favor of the ideal and the desire of the person who requires it and is therefore considered an ally and even a benefactor. When complications arrive, the doctor is the bearer of bad news; he is the one who indicates surgeries against the initial expectations and who provokes suffering.
These patients constitute a great challenge, testing the physician’s experience and expertise.
Those who unscrupulously inject substances into people to transform their bodies are unaware of or far away from the fundamental medical dictum: primum non nocere.