The modern trend of 'bone-smashing,' where individuals intentionally strike their faces to alter bone structure, has parallels in the extreme beauty practices of Old Hollywood stars. Plastic surgeons are now warning about the dangers of these methods, both historical and contemporary. Dr. Steven J. Pearlman, a facial and reconstructive plastic surgeon, noted that any changes achieved through trauma are temporary and unlikely to be aesthetically pleasing.
Historical Facial Sculpting
In pursuit of a more defined appearance, some Golden Age actresses underwent radical procedures. Marilyn Monroe, after reportedly being called a 'chinless wonder,' had bovine cartilage grafted onto her jawbone early in her career. Medical records revealed decades later detailed this intervention, which she concealed by claiming a fall. By 1958, the cartilage was receding, and she sought further evaluation from a plastic surgeon, though whether further procedures occurred remained secret.
Joan Crawford, driven by a desire to escape a difficult upbringing, allegedly had her back teeth extracted to create the appearance of hollow cheeks. This procedure reportedly led to gum infections and swelling, which she then adapted to create her signature 'Crawford mouth.'
Marlene Dietrich, known for her sharp cheekbones, is also rumored to have had her upper molars pulled to achieve a more angular facial structure, a method similar to Crawford's. While lighting and camera techniques were employed to enhance her features, the speculation about tooth extraction persisted.
Modern Trends and Surgeon's Warning
Today, the 'looksmaxxing' trend has popularized 'bone-smashing,' particularly among young men seeking to sharpen features like cheekbones and jawlines. Dr. Pearlman cautioned that trauma-induced changes are temporary and can result in unattractive swelling. He acknowledged the desire for a strong facial structure, noting its association with classic masculinity in comics and films.
However, Pearlman stressed that exaggeration can be threatening, and a balance of natural appearance and good taste is crucial. He pointed to modern alternatives like fillers and facial plastic surgery for subtle, enhancing changes. Regarding historical procedures, he highlighted the risks associated with bovine cartilage grafts, including rejection and unpredictable resorption, and the potential for jawbone loss over time due to tooth extraction.
Pearlman characterized the extreme measures of past eras as 'experimental interventions driven by industry pressure and very limited options.' He contrasted this with contemporary techniques, stating that current medical knowledge, tools, and artistry allow for refined facial results without compromising health or long-term anatomy. He concluded that modern plastic surgery and fillers can enhance features naturally and gracefully, marking a shift where achieving beauty no longer necessitates risking well-being.