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The first book to consider the rapid rise of makeover shows from the perspectives of their viewers Watch this show, buy this product, you can be a whole new you! Makeover television shows repeatedly promise self-renewal and the opportunity for reinvention, but what do we know about the people who watch them? As it turns out, surprisingly little. The Makeover is the first book to consider the rapid rise of makeover shows from the perspectives of their viewers. Katherine Sender argues that this genre of reality television continues a long history of self-improvement, shaped through contemporary media, technological, and economic contexts. Most people think that reality television viewers are ideological dupes and obliging consumers. Sender, however, finds that they have a much more nuanced and reflexive approach to the shows they watch. They are critical of the instruction, the consumer plugs, and the manipulative editing in the shows. At the same time, they buy into the shows' imperative to construct a reflexive self: an inner self that can be seen as if from the outside, and must be explored and expressed to others. The Makeover intervenes in debates about both reality television and audience research, offering the concept of the reflexive self to move these debates forward.

Background Mommy-makeover is becoming very popular to help them reshaping their own bodies and restoring self-perception, hardly stressed by childbearing-related changes. However, debate exists in the literature concerning safety and aesthetic outcome in patients undergoing combined procedures. The study aims to shed a light on advantages and disadvantages in mommy-makeover technique compared to conventional abdominoplasty with a particular attention to psychological aspects. Materials and Methods In total, 37 women were enrolled at Campus Bio-Medico Hospital in Rome between October 2019 and January 2022. All of the patients were eligible for both abdominoplasty only and mommy-makeover. We proposed to the patients both procedures explaining risks and benefits; then, based on the preference of the single patient, we performed either mommy-makeover (Group A) or abdominoplasty alone (Group B). In order to evaluate patients’ satisfaction and safety, multiple questionnaires were administered 9-month postoperatively (BUT, POSAS, visual perception, etc.). Results The sample analyzed was composed of 37 patients (treatment group = 18, control group = 19). In the pre–post comparisons of BUT-A performed, there were statistically significant differences recorded in both groups and for all observed variables. The significance values were all less than 1% ( p  < 0.01). Conclusions Combined surgery proved not to be inferior in terms of patient safety. At the same time, the effectiveness in improving diastasis-related symptoms is fully comparable with single surgery. Treatment group showcases a considerable superiority in terms of body-image perception improvement and overall patient satisfaction. Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

This investigation explores the potential impact of Negative Pressure Wound Therapy (NPWT) dressing on mommy makeover surgical wounds. The focus is on optimizing the healing process and post-surgical care to mitigate complications like wound dehiscence, seroma, and hematoma. A prospective study spanned from October 2015 to April 2022, involving 40 patients undergoing mommy makeover surgery for aesthetic purposes. The randomized division resulted in two groups. Group one (  = 20) had donor sites covered with NPWT dressing, while group two (  = 20) received standard dressings lacking known healing-promoting agents. The assessment of complications served as an index of NPWT efficacy, and scars were evaluated using the Vancouver Scale. Immediate post-surgical use of NPWT dressings significantly expedited wound healing compared to fine-mesh gauze dressings. Furthermore, it almost eradicated discomfort and pain in all patients, indicating excellent compliance. Patients tolerated NPWT well, with no instances of dressing failure or non-compliance. This study underscores the utility of NPWT dressing in managing mommy makeover surgery wounds. The dressing's bio-occlusive properties create an optimal environment for wound healing, simultaneously minimizing pain, discomfort, and preventing key complications such as seroma and unfavorable scar appearance.

Background Despite a trend towards combining abdominoplasty with breast reduction surgery, so called “mommy makeovers”, the safety of this combined approach has been the subject of debate, with previous research yielding conflicting results. We evaluated the risk for complications and revision associated with adding abdominoplasty to bilateral breast reduction surgery. Methods We conducted a 10-year single-center retrospective chart review of bilateral breast reduction patients in Nova Scotia. Univariate and multivariate analyses were performed to compare the risk for complication and revision in patients with bilateral breast reduction to those with a concomitant abdominoplasty. Results Of the 1871 patients initially screened, 738 were included. 44 underwent a concomitant abdominoplasty procedure. Compared to the breast reduction alone group, patients with concomitant abdominoplasty were significantly older (47.5±9.9 vs. 42.8±13.2, p =0.004), had a higher BMI (28.1±4.4 vs. 25.8±3.1, p <0.001), and experienced longer operating room times (226±6 vs. 115±3 mins, p <0.001). In multivariate analysis, concomitant abdominoplasty did not increase the risk for breast-related (OR: 0.86 95%CI 0.43–1.7, p =0.668) or total complications (OR: 1.63, 95%CI 0.83–3.19, p =0.154). However, there was a trend towards an increased risk of breast revision (OR: 2.684, 95%CI 0.95–7.6, p =0.062) and a significantly increased risk of total revision (OR: 6.624, 95%CI 2.7–16.1, p <0.001). Moreover, patients with concomitant abdominoplasty experienced more follow-up visits (median: 4 vs. 3 visits, p =0.042). Conclusion In our single-center retrospective analysis, combining abdominoplasty with bilateral breast reduction did not increase the risk for breast, or total complications; however, it did increase the risk for total revisions. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266

This article reports on a reality TV series, Sweden’s best employment service, broadcast on Swedish public service television in 2018. The purpose was to investigate ongoing political transformations in the Swedish welfare model. The series focuses not only on unemployment, the unemployed and their life situation but more specifically on the organisation of the Swedish Public Employment Service (PES) as reflected at a local PES office. Informed by a cultural studies approach to the politics of popular culture, the aim of this article is to examine how the makeover is staged in the series. The article focuses on how the unemployed are positioned in the series in a setting of organisational change initiated at the local PES office. The analysis provides insights into how the makeover is staged and initiated in reality TV and illustrates how the unemployed are positioned as willing and able to work and to actively seek opportunities. The unemployed are not the primary target for the makeover in the series. The makeover is primarily directed at the organisation of the PES and its managers. Consequently, unemployment is presented in the series as not only a concern for the individual citizen but also for society.Nine o’clock on channel sixGet the beer and get the chipsDeath is live upon the screenIt’s reality TV!Tankard, R.T.V., 1994

The Great American Makeover is a collection of essays that explore the American makeover mythos that has been recently repackaged in the form of popular makeover television programs such as Extreme Makeover, The Swan, Supernanny, and Queer Eye for the Straight Guy.

Drawing on 13 months of participant observation at a welfare-to-work nonprofit that provides unemployed poor women with used business attire, I assess the extent to which—and how—this “objectified cultural capital” is transmitted to clients. I advance prior theorizing in this area by considering whether clients’ “bodily capital” impacts the services they receive. I find that despite providing needed services to clients, the organization reifies many of the inequalities it seeks to remedy. When sorting clothing donations, staff and volunteers curate particularly classed embodiments by selecting garments that are work-appropriate yet not luxurious. Also, well-intentioned efforts to provide a luxurious shopping-esque experience for clients ironically produces service scripts that facilitate control over clients’ behavior. Finally, service interactions reproduce inequities between different types of clients along the lines of race, class, and body size, such that clients with more privileged bodily capital fare better than those with stigmatized embodiments. I use these findings to caution against romanticized understandings of philanthropic efforts to remedy social inequality, while also underscoring the importance of taking embodiment—particularly the striking social disadvantages of larger body size—into account when examining the intersections of gender, race, and class.

It is consensus that high school, in Brazil, is the level of education whose debates are most controversial, being considered as a large knot of our educational system. This historical problem (ZOTTI, 2009) faces challenges in relation to the access and permanence of young people in high school – problems that go beyond the issue of learning. Issues such as the mismatch with the reality of the students, the need to enter the labor market, various social issues related to those who attend this stage of education, as well as the teacher devaluation, are issues that reinforce the discourse of \"crisis in High School\" perpetuated in the Brazilian educational field almost over a century. In that way, it is understood that the reflection on the quality of the current High School requires the consistent analysis of issues of access and permanence, and also of reaching the demands and needs of the young people who attend to it. It is estimated that the current policies of High School, in particular the Law N° 13.415/2017, which instituted the makeover of the High School, does not directly respond to the historical demands of this stage of teaching, or shed light on the successful teaching experiences that have already been carried out in the country, such as the Experimental Secondary Classes and Gymnasiums/Vocational Schools, which sought to answer the same questions – however, with other aspects and in a time lapse of more than fifty years. These experiences, closed by the dictatorial regime in the 1960s, carried out the proposal to promote an integral education, contributing to the formation of students in various dimensions, in a significant way and promoting the effective integration of content. It is understood that tests of renewal of the High School should be formulated from the reading and evaluation of the experiences and policies already developed, and these new initiatives should, rather than wear the \"clothing of the new\" without offering real solutions to the existing demands, present effective advances – not appearing as counter-reforms, in which there are setbacks through the already achieved, as was the Law of Reform of the High School. Lastly, we emphasize, the need for studies and debate of experiences referred to as an example of quality, because the continuity of policies depends on the systematic study, evaluation and reformulation of initiatives that have achieved successful results. É consensual a percepção de que o Ensino Médio (EM) é, no Brasil, o nível de ensino cujos debates são mais controversos, sendo este considerado o grande nó de nosso sistema educativo. Este problema histórico (ZOTTI, 2009) enfrenta desafios em relação ao acesso e permanência dos jovens no EM – problemas esses que vão além da questão da aprendizagem. Questões como o descompasso com a realidade dos alunos, necessidade de ingresso no mercado de trabalho, questões sociais diversas ligadas aos que frequentam essa etapa de ensino, bem como a desvalorização docente, são questões que reforçam o discurso de “crise no Ensino Médio” perpetuado no campo educacional brasileiro ao longo de quase um século. Nesse sentido, compreende-se que a reflexão sobre a qualidade do atual Ensino Médio exige a análise consistente de questões de acesso e permanência e, ainda, de atendimento das demandas e necessidades dos jovens que o frequentam. Avalia-se que as atuais políticas para o EM, em especial a Lei nº 13.415/2017, que instituiu a reforma do EM, não respondem diretamente às demandas históricas desta etapa do ensino, tampouco lançam luz sob as experiências de ensino exitosas que já foram realizadas no país, tais como as Classes Secundárias Experimentais e Ginásios/Colégios Vocacionais, que buscavam responder às mesmas questões – contudo, com outras roupagens e em um lapso temporal de mais de cinquenta anos. Estas experiências, encerradas pelo regime ditatorial nos anos 1960, levaram a cabo a proposta de promover uma educação integral, contribuindo com a formação dos estudantes nas mais diversas dimensões, de maneira significativa e promovendo a efetiva integração de conteúdo. Entende-se que ensaios de renovação do EM devem ser formulados a partir da leitura e avaliação das experiências e políticas já desenvolvidas, devendo estas novas iniciativas, mais do que vestir a “roupagem do novo” sem oferecer reais soluções para as demandas existentes, apresentar avanços efetivos – não figurando como contrarreformas, nas quais apresenta-se retrocessos mediante ao já alcançado, a exemplo do que fora a Lei de Reforma do EM. Frisa-se, por fim, a necessidade de estudos e debate de experiências referenciadas como exemplo de qualidade, pois a continuidade de políticas depende do estudo sistemático e da avaliação e reformulação de iniciativas que alcançaram resultados exitosos. Es consensuado que la escuela secundaria (MS) sea, en Brasil, el nivel de educación cuyos debates son más controvertidos, que se considera el gran nodo de nuestro sistema educativo. Este problema histórico (ZOTTI, 2009) se enfrenta a desafíos en relación con el acceso y la permanencia de los jóvenes en la SITUACIÓN de los Estados del Desarrollo, problemas que van más allá de la cuestión del aprendizaje. Cuestiones como el desajuste con la realidad de los estudiantes, la necesidad de entrar en el mercado laboral, diversos temas sociales relacionados con quienes asisten a esta etapa de la enseñanza, así como la devaluación del profesorado, son cuestiones que refuerzan el discurso de la \"crisis en la escuela secundaria\" perpetuada en el campo educativo brasileño a lo largo de casi un siglo. En este sentido, se entiende que la reflexión sobre la calidad de la actual Escuela Secundaria requiere un análisis coherente de las cuestiones de acceso y permanencia, así como de satisfacer las demandas y necesidades de los jóvenes que la asisten. Se estima que las políticas actuales para la en particular, la Ley No 13.415/2017, que instituyó la reforma de la EM, no responde directamente a las demandas históricas de esta etapa de la enseñanza, ni arroja luz sobre las experiencias docentes exitosas que ya se han llevado a cabo en el país, como las Clases Secundarias Experimentales y los Gimnasios/Colegios Vocacionales, que buscaban responder a las mismas preguntas – sin embargo, con otras ropas y en un tiempo de más de cincuenta años. Estas experiencias, cerradas por el régimen dictatorial en la década de 1960, llevaron a la propuesta de promover una educación integral, contribuyendo a la formación de los estudiantes en las más diversas dimensiones, de manera significativa y promoviendo la integración efectiva de los contenidos. Se entiende que el reciclaje de los Estados unidos debe formularse a partir de la lectura y evaluación de las experiencias y políticas ya desarrolladas, y que estas nuevas iniciativas deben utilizarse en lugar de vestir la \"ropa de lo nuevo\" sin ofrecer soluciones reales a las demandas existentes, presentando avances efectivos, no apareciendo como contrarreformas, en las que los contrarrelojes se presentan a través de lo ya logrado, como lo ha sido la Ley de Reforma de la Sra. Por último, hacemos hincapié en la necesidad de estudios y discusión de experiencias denominadas ejemplo de calidad, porque la continuidad de las políticas depende del estudio sistemático y de la evaluación y reformulación de iniciativas que han logrado resultados satisfactorios.