
Nonfiction • Criminal Justice • History
Killer Looks
The Forgotten History of Plastic Surgery in Prisons
“One surgeon’s unconventional project provides the narrative spine for a fascinating, often shocking look inside the American prison system. I won’t soon forget this book.”
— Mary Roach, New York Times-bestselling author of Grunt, Stiff, Packing for Mars
About the Book
Killer Looks is a deeply reported history of prison plastic surgery programs in the U.S., Canada, and the U.K., based on archival records, medical literature, and interviews. It explores the long-forgotten practice of providing free nose jobs, face-lifts, breast implants, and other physical alterations to incarcerated people, the idea being that by remodeling the face you remake the man. From the 1920s up to the mid-1990s, half a million prison inmates across America, Canada, and the U.K. willingly went under the knife, their tab picked up by the government.
In the beginning, this was a haphazard affair — applied inconsistently and unfairly to inmates, but entering the 1960s, a movement to scientifically quantify the long-term effect of such programs took hold. Mid-century evaluations reported sharp reductions in recidivism in select programs—findings that fueled expansion before later ethical backlash.
In 1967, a three-year cosmetic surgery program on Rikers Island saw recidivism rates drop 36%. The program was funded by a $240,000 grant from the Department of Health, Education, and Welfare.
Killer Looks draws on the intersectionality of socioeconomic success, racial bias, the prison industry complex, and the fallacy of attractiveness to get to the heart of how appearance and societal approval creates self-worth, and uncovers deeper truths of beauty bias, inherited racism, effective recidivism programs, and inequality.
From the Archives
Richard Zunt: Before and after photo of his prison rhinoplasty. Joliet prison, Illinois, 1957.
Joseph Colletti, age 24. Sentenced for 2–15 years for larceny. In 1955, he received a chin implant inside Joliet prison, Illinois.
Praise
“Riveting and well-researched… Graceful prose bolsters this fascinating account. This is essential reading for anyone interested in criminal rehabilitation.”
— Publisher’s Weekly
“One surgeon’s unconventional project provides the narrative spine for a fascinating, often shocking look inside the American prison system. Expertly and rigorously researched, Killer Looks takes the reader through the little-known practice of testing surgeries on prisoners, the rise and fall of the rehabilitation movement, the surprising economics of lookism, and the ingrained racism at the heart of all of it. Stone writes with compassion and authority. I won’t soon forget this book.”
— Mary Roach, New York Times-bestselling author of Grunt and Stiff
“Through her engaging and insightful reporting, Zara Stone reveals a dark side of the history of plastic surgery. This thought-provoking read encourages us to examine the systemic problems of the criminal justice system that exist today.”
— Dr. Sam P. Most, Chief, Division of Facial Plastic & Reconstructive Surgery, Stanford University School of Medicine
Featured Media Highlights
Coverage and interviews have appeared in Elle, KALW radio, The Daily Mail, and more.
Mother Jones— Feature on prison plastic surgery programs
Aesthetic Medical Practitioner (Australia) — Excerpt from Killer Looks
ABC Radio, Late Night Live — Interview with Phillip Adams

Speaking
Zara is available for talks, panels, and interviews. Past appearances include a talk at Stanford University as part of the Stanford University Humanities Programming, a talk at Stanford University McCoy Family Center for Ethics in Society, guest speaker at the Virginia Fall For The Book literary festival, in conversation with Joe Loya, as part of San Francisco Public Library’s One City One Book: San Francisco Reads programming, Green Apple Books, The Book Break, and the Labyrinth podcast by Amanda Knox.
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