There's a liberation about it.
.
Yet Americans are hardly shying away from the knife.
Women account for a staggering 91% of these procedures.
A silver-haired woman stands knee-deep in a pond strewn with autumn leaves, looking directly at the camera, her elbows angled back like wings to reveal one intact breast and one mastectomy scar.
The image is not some grim memento mori, though.
To make such photographs, and, even more so, to pose for them, is an act of defiance.
Why not show what it looks like? The natural settings, devoid of sociological detail and inherently beautiful, tend to banish ironic readings and extend a certain benevolence to the naked subjects.