1、The country that launched the “Battle of the Bulge” in World War II is now leading the way in the battle over a different kind of bulge. 作為二戰(zhàn)“突出部戰(zhàn)役”的發(fā)1發(fā)起者，現(xiàn)在德國又在另一種“突出部”之戰(zhàn)中走在了世界前列。 German men went under the knife for 2,786 penile enlargement surgeries in 2013, according to the International Society

2、o2f Aesthetic Plastic Surgery (ISAPS), which today released its 2014 global stats report. Thats a much larger tally than the other nine countries that 3provided sufficient survey data this year, including the U.S., Mexico, Spain, Italy and Brazil. Other than Iran, the U.S. had the fewest penile enha

3、nc4ement surgeries, at only 61. The report tallies surgeries performed last year. 國際美容整形外科學(xué)會（ISAPS）于7月31日公布的全球行業(yè)數(shù)據(jù)報告顯示，2013年有2786名德國男性接受了生殖器增大手術(shù)。和美國、墨西哥、5西班牙、意大利、巴西和伊朗等另外9個提供了足夠調(diào)查數(shù)據(jù)的國家相比，德國在這方面遙遙領(lǐng)先。除了伊朗，美國男性接受這種手術(shù)的人數(shù)最少，只有61例。ISAPS的這份報告對2013年的整形手術(shù)數(shù)量進行了統(tǒng)計。 There are other compelling tidbits to be glea

4、ned 6from the data. In contrast to its lack of interest in penis enlargements, the U.S. is leading the way in breast augmentation surgeries (more than 313,7000 to Brazils 226,000; those two nations trounced all others in this category). But dont be quick to assume that means American women are more

5、eage8r than non-American women to enhance their bodies. The data are broken down by geographic location but not nationality, which means that it was not ne9cessarily all American citizens undergoing the surgeries performed in America. For the purposes of the annual survey, the ISAPS reached out to s

6、ome 3510,000 plastic surgeons around the world. The countries that responded with the most data were the U.S., Brazil, Mexico, Germany, Spain, Colombia, Italy11, Venezuela, Argentina and Iran. 該報告的數(shù)據(jù)中還包含著其他一些有趣的東西。和美國男性對生殖器增大術(shù)缺乏興趣的局面相反，美國在隆胸術(shù)方面名列前茅（超過31.3萬例，巴西為22.6萬例，這兩個數(shù)字遠(yuǎn)遠(yuǎn)超過其他國家）。但不要因此迅速認(rèn)定美國女性比其他國

7、家的女性更熱衷于整形12。這些數(shù)據(jù)的劃分標(biāo)準(zhǔn)是地域，而不是國籍，也就是說在美國接受整形手術(shù)的未必都是美國人。為進行本次年度調(diào)查，ISAPS聯(lián)系了全球3.5萬名整形醫(yī)生。提供反饋信息最多的國家是美國、巴西、墨西哥、德國、西班牙、哥倫比亞、意大利、委內(nèi)瑞拉、阿根廷和伊朗。 Dr. Eric Halvorson, who doe13s cosmetic and reconstructive surgeries at the Brigham and Womens Hospital in Boston, Mass., had no guess as to why Germany would be lea

8、ding the penil14e enhancement charge, but he told Fortune that, of course, standards of aesthetic beauty vary by country, and the surgeries reflect that. 埃里克o霍爾沃森博士是馬15薩諸塞州波士頓布里格姆女子醫(yī)院（Brigham and Womens Hospital）美容和再造整形醫(yī)生。他沒有猜測為什么接受生殖器增大術(shù)的德國男性最多，但他在接受財富雜志（Fortune）采訪時表示，各個國家的審美觀點當(dāng)然不同，整形手術(shù)就體現(xiàn)了這一點。 Tak

9、e women, for exa16mple, who had 87% of the total plastic surgeries in the world. “In the U.S., women tend to want to be thin with large breasts, whereas in a country li17ke Brazil, women want to have small breasts and a larger buttocks,” Halvorson explained. 女性占全球整形手術(shù)接受者的87%。以她們?yōu)槔魻栁稚┦拷榻B說：“在美國，女性往

10、往希望自己身材纖細(xì)、胸部豐滿；而在巴西這18樣的國家，女性則希望胸部小一些，臀部大一些?！?“Its amazing: take the same womans body, and in one country theyd be going to get their breasts reduced and their buttocks 19augmented, and in the other theyd be getting larger breasts,” he added. 霍爾沃森博士表示：“這很奇妙。同為女性，在這個國家她們會縮胸隆臀，而在那個國家她們則要隆胸?！?Breast en

11、hancement was, unsur20prisingly, the most common type of plastic surgery worldwide in 2013, with 1.77 million performed globally, beating out simple eyelid surgeries, of wh21ich there were 1.38 million. But augmentation is only one type of breast surgery, a category that also includes breast lift, b

12、reast reduction, and gyn22ecomastia surgery (reduction of abnormally large breasts in men). The U.S. accounted for 15% of breast surgeries in the world, just edging out the 14.239% performed in Brazil. Other operations measured in the ISAPS survey include tummy tucks (Brazil had the most; the U.S. i

13、s a close second), vaginal r24ejuvenation or labiaplasty (Brazil and Germany both had more than the U.S.) and buttock augmentation or gluteoplasty (the U.S. was only fourth here, a25fter Brazil, Mexico and Colombia). 2013年全球最普遍的整形手術(shù)是隆胸術(shù)，這并不讓人感到意外。此類手術(shù)的數(shù)量是177萬例，超過了較為簡單的眼瞼成形術(shù)，后者的數(shù)量為138萬例。但胸部整形并不僅僅是豐胸，

14、它還包括下垂矯正、縮胸和男性乳腺發(fā)育（即男性乳腺的不正常增大）手26術(shù)。美國占全球胸部整形手術(shù)的15%，稍高于巴西的14.9%。ISAPS的調(diào)查還包括腹壁整形術(shù)（巴西最多，美國緊隨其后）、陰道修復(fù)和陰唇整形術(shù)（巴西和德國都超過了美國）以及隆臀和提臀手術(shù)（美國僅居第四，前三名是巴西、墨西哥和哥倫比亞）。 This was in fact the first time 27ever that Brazil topped the U.S. for most surgical procedures performed. Although America has 15.2% of the worlds

15、plastic surgeons (Brazil is catchin28g up, with 13.6%), Brazil had 12.9% of the worlds aesthetic/cosmetic surgical procedures, compared to 12.5% by the U.S. Thats not to be confused wit29h non-surgical procedures, which have risen more than ever before and which the U.S. leads by a wide margin. This

16、 category of shorter, cheaper procedu30res includes injections of Botox or soft-tissue fillers, skin lasers and skin-tightening devices, fat-melting and fat-freezing devices. 實際上，這是巴西在整形手術(shù)數(shù)31量上首次超過美國。雖然美國擁有全球15.2%的整形外科醫(yī)生（巴西正在縮小和美國的差距，目前有13.6%的整形醫(yī)生），但巴西進行的美容整形手術(shù)數(shù)量占全球12.9%，高于美國的12.5%。不要把這些和非手術(shù)整形搞混了非手術(shù)

17、整形正以前所未有的速度增長，而且美國在這方面遙遙領(lǐng)先于其他國家。這種方法耗時短32，價格低，具體做法有注射保適妥（Botox）或軟組織填充劑，使用激光美膚治療儀、緊膚治療儀、燃脂纖體儀和冷凍溶脂儀。 Dr. Renato Saltz, who is vice president of ISAPS (and grew up in Brazil), says non-surgical33 procedures have been riding a wave ever since 2008 and 2009, when there was a slow-down in surgical proced

18、ures due to the economic crisis. ISAPS副總裁雷納34托o薩爾茨在巴西長大。他說，2008-2009年的經(jīng)濟危機造成整形手術(shù)增長放緩，從那以后，非手術(shù)整形一直處于高速發(fā)展?fàn)顟B(tài)。 “Patients couldnt afford the big-ticket operation, but they still did something,” said 35Saltz. “They did some laser, some Botox, they still wanted to look better despite the financial crunch.”

19、 薩爾茨指出：“整形者無力接受花費很高的手術(shù)，但他們?nèi)杂兴鶆幼?。有些進行了激光治療，有些注射36了保適妥，他們依然想變得好看，并沒有受到金融危機的影響。” In 2010, the U.S. numbers for surgical procedures finally started growing again, and non-surgical procedures have contin37ued to rise. In 2013, Americans spent more than $12 billion on cosmetic procedures, according to ASA

20、PS, the American-focused version of ISAPS. That wa38s up 12% from 2012. Some $5 billion of that was on non-surgical work. 2010年，美國的整形手術(shù)數(shù)量終于再次上升，非手術(shù)整形數(shù)量也繼續(xù)增長。美國美容整形外科學(xué)會（ASAPS）的數(shù)據(jù)顯示，2013年美國人在美容整形方面的支出超過了13920億美元，比2012年增長了12%，其中約50億美元花在非手術(shù)整形上。 “In my practice were seeing more and more patients coming i

21、n who dont want to have actual surgery, or dont wan40t to pay for it or wait for it,” Saltz said. “They come in, theyre on their laptops during the procedure, and then they leave and 25% of the fat in t41heir tummy is gone. These are certified procedures that didnt exist five or ten years ago, and t

22、hat change were seeing is amazing.” 薩爾茨說：“從我的實際經(jīng)驗來看，42越來越多的人并不想真的動手術(shù)，有人是不愿意花這筆錢，有人是不愿意等待。來的人在整形過程中都在玩筆記本電腦，離開時他們肚子上的脂肪就會減少25%。這些獲得認(rèn)證的手術(shù)近5年，或者近10年才出現(xiàn)。我們看到的變化令人驚訝?！?Ask Dr. Halverson, though, and hell tell43 you that the general lack of knowledge about non-surgical procedures is one of the frustrating

23、 things about being in the plastic surgery field of med44icine. 不過，如果問霍爾沃森，他會告訴你，人們對非手術(shù)整形普遍缺乏了解，這對整形醫(yī)生來說是令人沮喪的一件事。 “I think reality TV and the media has done a lot to show plastic surgeries and raise conscio45usness and make it seem okay; people always used to hide it, but now people are much more o

24、pen about it, its much more acceptable to have had surgery46,” said Halvorson. 霍爾沃森說：“電視真人秀和媒體已經(jīng)讓人們看到了許多整形手術(shù)，提高了人們的整形意識和接受度。以前人們總是要隱瞞這種事情，但現(xiàn)在人們對它的開放程度要高了很多，接受整形手術(shù)的程度也高了很多?！?“The downside of reality shows about47 plastic surgery is that they reinforce the public perception that plastic surgery is nothing more than cosmetic surgery,” he added. “