埃里克•霍尔沃森博士是马萨诸塞州波士顿布里格姆女子医院（Brigham and Womens Hospital）美容和再造整形医生。他没有猜测为什么接受生殖器增大术的德国男性最多，但他在接受《财富》杂志（Fortune）采访时表示，各个国家的审美观点当然不同，整形手术就体现了这一点。
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.
German men went under the knife for 2,786 penile enlargement surgeries in 2013, according to the International Society of Aesthetic Plastic Surgery (ISAPS), which today released its 2014 global stats report. That’s a much larger tally than the other nine countries that provided sufficient survey data this year, including the U.S., Mexico, Spain, Italy and Brazil. Other than Iran, the U.S. had the fewest penile enhancement surgeries, at only 61. The report tallies surgeries performed last year.
There are other compelling tidbits to be gleaned from 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 313,000 to Brazil’s 226,000; those two nations trounced all others in this category). But don’t be quick to assume that means American women are more eager 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 necessarily all American citizens undergoing the surgeries performed in America. For the purposes of the annual survey, the ISAPS reached out to some 35,000 plastic surgeons around the world. The countries that responded with the most data were the U.S., Brazil, Mexico, Germany, Spain, Colombia, Italy, Venezuela, Argentina and Iran.
Dr. Eric Halvorson, who does cosmetic and reconstructive surgeries at the Brigham and Womens Hospital in Boston, Mass., had no guess as to why Germany would be leading the penile enhancement charge, but he told Fortune that, of course, standards of aesthetic beauty vary by country, and the surgeries reflect that.
Take women, for example, 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 like Brazil, women want to have small breasts and a larger buttocks,” Halvorson explained.
“It’s amazing: take the same woman’s body, and in one country they’d be going to get their breasts reduced and their buttocks augmented, and in the other they’d be getting larger breasts,” he added.
Breast enhancement was, unsurprisingly, the most common type of plastic surgery worldwide in 2013, with 1.77 million performed globally, beating out simple eyelid surgeries, of which there were 1.38 million. But augmentation is only one type of breast surgery, a category that also includes breast lift, breast reduction, and gynecomastia surgery (reduction of abnormally large breasts in men). The U.S. accounted for 15% of breast surgeries in the world, just edging out the 14.9% performed in Brazil. Other operations measured in the ISAPS survey include tummy tucks (Brazil had the most; the U.S. is a close second), vaginal rejuvenation or labiaplasty (Brazil and Germany both had more than the U.S.) and buttock augmentation or gluteoplasty (the U.S. was only fourth here, after Brazil, Mexico and Colombia).