????作為二戰“突出部戰役”的發起者，現在德國又在另一種“突出部”之戰中走在了世界前列。

????國際美容整形外科學會（ISAPS）于7月31日公布的全球行業數據報告顯示，2013年有2786名德國男性接受了生殖器增大手術。和美國、墨西哥、西班牙、意大利、巴西和伊朗等另外9個提供了足夠調查數據的國家相比，德國在這方面遙遙領先。除了伊朗，美國男性接受這種手術的人數最少，只有61例。ISAPS的這份報告對2013年的整形手術數量進行了統計。

????該報告的數據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缺乏興趣的局面相反，美國在隆胸術方面名列前茅（超過31.3萬例，巴西為22.6萬例，這兩個數字遠遠超過其他國家）。但不要因此迅速認定美國女性比其他國家的女性更熱衷于整形。這些數據的劃分標準是地域，而不是國籍，也就是說在美國接受整形手術的未必都是美國人。為進行本次年度調查，ISAPS聯系了全球3.5萬名整形醫生。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、委內瑞拉、阿根廷和伊朗。

????埃里克?霍爾沃森博士是馬薩諸塞州波士頓布里格姆女子醫院（Brigham and Womens Hospital）美容和再造整形醫生。他沒有猜測為什么接受生殖器增大術的德國男性最多，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然不同，整形手術就體現了這一點。

????女性占全球整形手術接受者的87%。以她們為例，霍爾沃森博士介紹說：“在美國，女性往往希望自己身材纖細、胸部豐滿；而在巴西這樣的國家，女性則希望胸部小一些，臀部大一些?！?/p>

????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?！?/p>

????2013年全球最普遍的整形手術是隆胸術，這并不讓人感到意外。此類手術的數量是177萬例，超過了較為簡單的眼瞼成形術，后者的數量為138萬例。但胸部整形并不僅僅是豐胸，它還包括下垂矯正、縮胸和男性乳腺發育（即男性乳腺的不正常增大）手術。美國占全球胸部整形手術的15%，稍高于巴西的14.9%。ISAPS的調查還包括腹壁整形術（巴西最多，美國緊隨其后）、陰道修復和陰唇整形術（巴西和德國都超過了美國）以及隆臀和提臀手術（美國僅居第四，前三名是巴西、墨西哥和哥倫比亞）。

????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).