In regard to cosmetic surgery procedures, you have to first ask yourself why a woman would do it. The answer is not the same as it is for tattooing/piercing. Obviously it goes without saying it is an individual's right to alter their own body as they choose to.

However, there is a psychology at work in regard to the kind of modification done by 'models' like Jordan (Katie Price) and her colleagues which buys into Western Society's intensely hypocritical and confused messages about what women are supposed to be, look like and how they should behave. Many of these messages are extremely negatively pressuring, such as the terror of age, the concept of 'beauty' itself, the ideal of womanhood.

Let us not forget that any woman (or man) choosing cosmetic enhancement is letting herself in for the major risks attendant on that surgery. The body does not willingly accept the insertion of foreign matter such as silicon – let's not forget also a navel piercing can take up to a year to heal properly never mind 2 kilos of silicon gel – and the resultant strain on a physique not designed to carry this kind of load (skin, muscles, vertebrae) can and often is, disastrous. Reparative operations (each as major as the first) are common. If the patient elects to have the troublesome implant removed they find the damage caused by the initial insertion a 100 times more unsightly and irreparable than their original 'problem'. Skin cannot be re-elasticised, massive purple stretch-marks cannot be repaired. Keloid scarring is a major and unsightly risk. The only answer is often to have bigger implants to plump out the ruined skin in an imitation of elasticity. I need not go on because anyone can imagine the results. Cosmetic surgery is also notably addictive and a hard-sell approach by unscrupulous clinics encourages multiple procedures, and not only by the wealthy or famous; I personally know of older women who have re-mortgaged their homes, taken out huge loans etc., in order to have 'just one more' procedure to, as they wrongly hope, hold back the years or look 'sexy'. No-one with cosmetic surgery looks younger. At best, they look fresher and 'rested' at worst they look like they've had cosmetic surgery. Currently that's a fashion in itself. I'm not being self-righteous here – I am 57 in a Society which tells me constantly that older women are both completely unattractive and worse than useless. Of course I have been tempted and in order to get some slight insight into the cosmetic enhancement industry I have had Botox injected in my forehead by a non-surgical-enhancement professional (a very interesting experience indeed, carried out in front of 70 people at a lecture on Cosmetic Surgery – my life as a guinea-pig) but the more I research into surgical procedures the more I find the whole concept frightening and worrying.

The photographs prevalent on the Internet of – for example – women with very extreme breast enhancements may make some people giggle as at a freak-show. It may turn some people on. None of that interests me. What interests me is the actuality when that woman removes her clothes and body-make-up (which they generally use in quantity) to reveal the horribly striated and tearing skin, ruined pectoral muscles and the lumpy, hardened (older silicon has been described by patients as being similar to brick or concrete) implants the edges of which will be clearly visible.

However, my aesthetic judgments on such matters are not shared by all. A cosmetic surgeon recently reported a trend amongst young women in the 18-25 age bracket to have D or E sized implants and for them to ask if the surgeon could do the operation in such a way that the edges of the implant show through the flesh. Their reasoning was that they wished men to notice their breasts were enhanced because it 'proved' they were 'sexy' – because 'everyone knew' men thought enhanced breasts were 'sexier' because they were 'porno' and that men would be impressed and aroused by the fact the young women in question had gone to the trouble of having the operation in order to please men.

What does that say about young men's attitudes & the insidious and negative influence of Millennial post-feminist porno-culture? Or Western Society as a whole?

I am a heavily tattooed person, and a professional tattooist. Tattooing is an ancient and very human art form. It does not hinge on creating surgically artificial images of sexuality tied to the pornography industry. Therefore, to me, it is a more valid and artistic form of body modification. But that is just my opinion. Many would disagree saying that cosmetic procedures are designed to make people – especially women – more beautiful and therefore more valuable, whereas tattooing is a mutilatory practice which encourages women to own themselves and defy convention, thus putting themselves at risk of being viewed negatively by Society with the attendant risk of being put outside of Society's protection – a protection only extended to those women who conform.

This debate is why the whole area of body modification is so fascinating – literally, one man's meat is another man's poison.

What do you think?

Joolz is now a Patron of the charity IDAS - a practical, grassroots organisation helping anyone who is a victim of sexual violence in the North of England.

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