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The X-Rays were ‘Doctored’ – Gibson’s Newest study exposes O’Followell’s Le Corset as a hoax

Summary (TL;DR)

  • Anthropologist Dr. Rebecca Gibson published an article on June 20, 2023 critiquing Ludovic O’Followell’s famous 1908 study Le Corset and exposing it as faulty.
  • The data was messy, the x-rays were heavily manipulated, and the subjects might not have been alive.
  • Even physicians and researchers are not immune to bias, but O’Followell’s ‘doctored’ research should be viewed as what it is: deceit.
  • Since it was the first (and for a long time, only) study on the physical effects of corseting that used x-ray imaging (radiography), many of his incorrect conclusions were blindly accepted as fact and went without debate or correction for over a century. Other studies on corseting provided exaggerated illustrations, but no radiographs, and were even worse (Gibson even referring to them as hoaxes).
  • The one thing O’Followell and Gibson agreed on is the conclusion that responsible wearing of corsets shows “no correlation with other diseases or death.”

Gibson states that the Le Corset (1908) does not stand the test of time.

Not only because medical knowledge has advanced so much in the past century, but also because O’Followell’s study is a lens into a culture and time where misogyny was even more rampant in the medical community and society at large (women were often diagnosed with hysteria; women were not considered legal persons with equal access to education or voting rights; women were often reduced to mindless “victims of fashion” with no agency or bodily autonomy, thought to have suffered to appease the male gaze).

“Throughout his book, O’Followell argues that the medical “harms” done to women who corseted were self-inflicted, either by abuse of the corset, or by wearing a bad corset (badly made, ill-fitted, unsupportive, laced “too” tight).”

Gibson 2023

O’Followell also believed that tightlacing for vanity’s sake by young women ought to be “punished.” O’Followell conceded several times in his work that only tightlacing would be a risk for certain health issues and that a well-constructed, properly-worn corset that’s not tightlaced would pose no danger to the heart and circulatory system.

Despite this begrudging admission, the main argument O’Followell put forth was that corsets compressed the ribs (and therefore it’s reasonable to assume that any organs lying within the ribs would also be compressed) and he tried to “prove” this with radiographs.

Evidence shows that the x-rays were likely manipulated.

X-ray projection of a straight-front (“line”) corset, from “Le Corset” (1908) via Wikipedia Commons. Gibson spends considerable time breaking down the flaws of this particular radiograph.
Slack laces shown in blue (Gibson 2023)

The laces are too slack (blue)

Gibson’s observations: The metal wire lacing (used to show the lacing in the x-ray) was slack on the top half of the corset – indicating that O’Followell was not consistent in the way he laced his subjects for the study. He also mentioned that his subjects didn’t participate in lacing up their own corsets (more on why later) so the way the corsets are worn in these images may not be indicative of how women normally wore their corsets. How could his results possibly be reproducible if the corsets aren’t properly and consistently laced and tightened to fit?

Lucy’s thoughts – what if O’Followell deliberately overtightened the corsets at the floating ribs in a way that caused the subjects discomfort? How is it possible to get an accurate “snapshot” of how the corset affects the body over time if that snapshot is not consistent with how these subjects wore them on a daily basis? (You’ll soon learn why that wasn’t an issue after all.)

Binding overhang shown in red (Gibson 2023)

That is not how binding works (red)

Gibson’s observations: In radiographs, soft tissues of the body (fat and muscle) are seen as transparent, hazy shading, while denser materials like bones and metal are more opaque. The metal ‘suture’ was said to be inserted into the top and bottom binding of the corset to visualize the borders, but it doesn’t wrap around to the front of the body – rather it flies off to the side in a way that doesn’t make sense and doesn’t accurately follow the true edge of the corset. In fact, Gibson says that the orientation of this wire seems more indicative of the metal laid on top of a body that might be lying down.

Lucy’s thoughts: I initially thought the dark haze above the black line was “muffin top” or flesh which might indicate that the top was overtightened, but I think I’m wrong here as the original shown above from Wikicommons doesn’t show the same darkness – and it’s hard to overtighten an area where the laces are so slack as previously outlined in blue. At first I wasn’t going to bother mentioning this, but my readers may have drawn a similar conclusion.

Boning protruding through the binding in purple (Gibson 2023)

The bones are too long

Gibson’s observations: The steel bones are protruding through the top of the binding, which is inconsistent with the way any corset at the time would have been constructed. They’re clearly too long for the corset. (While this might not seem relevant to the conclusions drawn in O’Followell’s study, it’s another example of sloppy, unreproducible work and perhaps the use of a corset that is atypical of the era.)

Lucy’s thoughts – if the bones were removable and not secured in, this may affect the fit of the corset – it’s not providing proper vertical tension, and may lead to the fabric collapsing and wrinkling uncomfortably in places. If, on the other hand, the steels were not in the corset at all, and instead laid down overtop of the subject… well, nothing would surprise me at this point.

No organ outlines, but also no front of the ribs. (Gibson 2023)

Where are the organs?

Gibson’s observations: often in radiographs, different organs can be partially visualized and distinguished from each other – the lungs are full of air and they look different next to the heart or solid liver, for example. Gibson took the images to radiology technologist Rory Langton to see if they could see the outlines of any organs. It was inconclusive. X-ray technology was still a bit crude (it had only been around for 10 years at the time of publishing).

But, weirdly, the front of the rib cage and sternum can’t be viewed here either, and usually the far-side of the ribs are not obscured by soft organs in x-rays. Gibson says, “Such complete opacity is more consistent with the rib cage having been stuffed with something to maintain its shape.”

Vertebrae outlined in green – this orientation would cause instant paralysis, shock and death (Gibson 2023)

(MOST CRITICAL) The spine is not compatible with life

Gibson’s observations: The lumbar vertebrae make no sense on a living person. (In normal x-rays, the spine looks like a literal column with the vertebral bodies stacked like thick layers on a cake, similar to this image, pulled from this study on AI learning in radiology – Lucy)

Compare with O’Followell’s image: you’re looking more at a top-down view of each vertebra, through the canals where the spinal cord should be – the spine is not stacked at all, but rather each vertebra is rotated upwards 90° and then twisted clockwise another 45°. This is probably not compatible with life and there’s no corset that could do something this drastic. Langton says that this is an x-ray of either a dead body or artificial body parts.

Lucy’s thoughts: having studied anatomy and physiology, I’m frankly embarrassed that I didn’t see this earlier. (Then again, a century of health science experts didn’t notice either.) But this is also why I had no need to worry about the corset being uncomfortably wrinkled or overtightened on the body, and why the subjects didn’t “participate” in their own lacing of their corsets. Because they weren’t alive, and maybe never were.

If you’d like to play around with the orientation of a 3D model of a vertebra for yourself, you can do so here (from Sketchfab.com)

Normally, the vertebral bodies (2) are stacked on top of one another like thick layers on a cake, the spinous processes (6) face backwards like little dorsal fins, and the spinal cord runs vertically through the canal.

But wait, there’s more (trickery)

Gibson goes on to analyze other x-rays from the Le Corset, including an x-ray showing the back of the ribs, with the busk showing in front of the pelvis, meaning that the corset was possibly worn backwards. But upon closer inspection…

Yikes

According to the Langton, the pelvis is imaged from the front – but the orientation of the ribs look like they’re imaged from the back. So Gibson says this was likely a composite image of “at least two” radiographs with the back of someone’s thorax pasted onto the front of the pelvis.

Also, there were no corsets in 1908 that had this specific contouring on the edges. The metal lines again appear to be laid on top of a body that was lying down. And again, whether this subject had all of their internal organs is “inconclusive.”

Understandably, some bodies of literature that relied on O’Followell’s findings and took them to be fact may now be (at least partially) called into question. 

In Gibson’s previous publications (her doctorate thesis in 2015 which I covered on my channel, and her followup book The Corseted Skeleton in 2020), Gibson borrowed skeletons from 19th century European gravesites and studied their ribs and spines – noting distinctions between different cultures (corset wearer or non-wearer), sexes, ages, etc. She noted that corset wearers during this time period did show the influence of the corset’s pressure on their skeletal structure. But importantly, she also noted that in nearly 4000 death records, zero of them mentioned corsets or tightlacing being related to the cause of death. (And she said some of those “causes” on the written records were creative, like “died from evil”, so you’d think corsets would’ve come up at least once. It never did.)

Gibson goes on to say it’s important not to confound the causes of certain skeletal deformations and erroneously blame the corset for certain findings, as some other anthropologists are guilty of doing.

Can be caused by rickets alone, but NOT corsets aloneChanges to the sternum (pigeon-chest), “waviness” of ribs.
Can be caused by corsets alone, but NOT rickets aloneDownward angling of the spinous processes (Gibson 2015).
Can be caused by rickets OR corsets (or both, but not necessarily)Flattening and/or narrowing of the rib cage.
Allegedly requires BOTH rickets AND the wearing of corsets from pre-pubertyRachitic Flat Pelvis, or the “flattening” of the pelvic girdle from back to front (which can only happen with extremely soft and malleable bone from malnutrition and starting from a young age, and the unique downward pressure on pelvic tendons caused by specific corsets) (Ortner & Putschar 1985, p 279).
Lucy’s thoughts: I personally need more evidence re: rachitic flat pelvis. Different types of rachitic pelvis can be seen in male and female skeletons, young and old, but I haven’t been able to find any publication that proves that rachitic FLAT pelvis is unique to corset-wearing European women.

Notable quotes and conclusions

Were corseted women all victims of violent, patriarchally-enforced dress codes?

Gibson hints that this is certainly the narrative that some researchers seem to benefit from propagating. But just as humans today are not a monolith, so women in 18th and 19th century France possessed – and expressed, in writing to magazines and newspapers – differing opinions, preferences, and experiences. Some men penned essays on the silliness or dangers of women’s fashion, while others called a woman’s natural silhouette “uncivilized”. There is also plenty of evidence of women responding to these opinion columns rejecting both of these claims.

“The corset became, if not villain, then antihero for which some could root, against what most of society and most of the medical community believed and advised.”

Gibson 2023

Humans are not immune from bias – including physicians, researchers, and society in general.

Gibson states that we cannot take outdated medical publications as 100% fact, or continue seeing the researchers as an unerring authority, especially when there is clear evidence of cherry-picking their subjects and patients, using small sample sizes, manipulating their data, doctoring their evidence, and relying on anecdotes – and particularly when the author of the work is clearly biased or otherwise had a conflict of interest, as O’Followell did.

Society / culture (and the individual people who make up that society) can definitely hold biases and this can definitely skew their conclusions. But it’s particularly egregious to manipulate the raw data to fit one’s agenda.

“In many cases, inaccuracies were passed to researchers, or from researchers to the reader, for various reasons—the culture may have had their own agenda.”

Gibson 2023

Conclusion: are corsets dangerous or not?

According to O’Followell: in Le Corset (1908) he admitted, perhaps begrudgingly, that only tightlacing would be considered a risk for certain health issues – and that a well-constructed, properly-worn corset that’s not tightlaced “cannot have any dangerous influence on the heart in particular and on the circulatory system in general.”

According to Gibson: in The Corseted Skeleton (2020) she shares how nearly 4000 death records failed to blame the corset as the cause of death, and she goes on to say that although there are clear permanent effects of tightlaced corsets on the skeletons she studied, her “examination showed no correlation with other diseases or death.”

What do you think of Rebecca Gibson’s latest study?

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WAIST TRAINING RESULTS: How long should it take?

 

Here’s a question I receive nearly every day:

“My natural waist is 30 inches, and I just started waist training. How long will it take to see real results, and obtain a natural 24 inch waist?”

 Of course, the exact wording, the numbers, and the goals all vary slightly from person to person. But I will tell you what I tell all of them – and you will not be happy:

I DON’T KNOW. And unfortunately, neither can anyone else. If someone claims that they CAN give you a specific duration of time that you will achieve your waist training goal, they are flat out lying.

If you look at these Before / After Waist Training examples, you will see that people have achieved all kinds of results, in all different durations. Some saw a marked difference in three months, while others achieved less dramatic results over two years. It’s different for everyone.

WHY is this?

The (semi)permanent results of waist training is dependent on a number of factors, including your body’s current state and your genetic pre-disposition, the quality of your corset and its compatibility with your body, and the way you train in your corset. Let’s break those down in further detail:

 

Factor #1: Your body type and current body stats

Abdominal body fat can be subcutaneous or visceral - and they affect your corset training differently.
Abdominal body fat can be subcutaneous or visceral – and they affect your corset training differently.

Your Body Fat

  • Adipose tissue can immediately compress down a lot more than muscle in a corset, but it also bounces back when you remove the corset. Some with a high body fat % are able to cinch down 10 inches in the waist, while someone with very low body fat may only be able to cinch down 2-3 inches.
  • Weight distribution also plays a role. Do you tend to carry more weight in your belly, or do you carry more weight on your hips and thighs? If you do carry weight in your belly, do you have a lot of visceral fat or subcutaneous fat? Subcutaneous fat sits under the skin but above the muscle, and makes your skin soft and malleable. Visceral fat is the more ‘dangerous’ fat that sits under your abdominal muscle, between your organs. Someone with more subcutaneous fat (even over their tummy) will probably have an easier time lacing down than someone with visceral body fat.

Your Muscle Tone

  • Very toned, dense muscles may be more difficult to cinch down compared to less toned muscles, BUT if you time your workouts well, you can actually use your resistance exercise regimen to your advantage in waist training to change the morphology of your oblique muscles and have them almost “grow” into the hourglass shape encouraged by the corset. Also, once you get to higher reductions, you have to “stretch” those side muscles, and also the tendons and ligaments. Some people’s bodies seem to more readily accommodate to this than other people’s bodies.

 Your Skeletal Frame

  • Do you have wider ribcage or smaller ribcage? Are your ribs flexible and are you able to accommodate corsets with a conical ribcage easily, or is your ribcage very inflexible and difficult to move? Those who are easily able to train their ribs are likely to see faster waist training results than those whose ribs are very rigid. My article on the corset’s effect on the skeleton goes into more detail about this.

Your Age

  • More mature waist trainers have bones that are not only less dense, but less malleable compared to younger trainers. For more information on how age can affect your corseting, see my article on waist training and age restrictions.

 Your Organs

  • When you look at human anatomy in a textbook, you’re seeing a general “average” of the size and orientation of organs. But not everyone’s organs look like that! Some people have larger organs, some have smaller organs. Even the position and orientation of organs can very slightly differ between individuals, and that small variation might make a huge difference in how well your body can accommodate the restriction of a corset. For further information, see my article on corsets and organs.

Your Water Retention

  • What’s your water content like? If you are often bloated or have water retention, either due to your lifestyle or because of a medical condition, you not only won’t be able to lace down as much or as readily, but you have more of that “temporary squish” to you as opposed to contributing to that “long term training”.

Whether You’ve Been Pregnant Before

  • Have you had a baby before or not? While this point is a bit more anecdotal, it seems that mothers are (on average) able to lace down more readily/ more comfortably/ to higher reductions compared to nulliparous women. Maybe this has to do with the fact that the baby had moved around a woman’s organs (especially in the final trimester), or the relaxin in your system during pregnancy had stretched out some tendons and ligaments already, or the woman was already accustomed to the feeling of restriction or breathing higher up in the chest, so she may be psychologically more comfortable with the feeling of being corseted. Read more about corsets after childbirth.

 

Factor #2: Your Corset

This corset has a conical ribcage, and will be more effective at training the ribcage.
This corset has a conical ribcage, and will be more effective at training the ribcage compared to a rounded ribcage.

Proper Fit

  • Is your corset comfortable? Does your corset fit you properly: when you lace down, does it reduce only the waist, and is it lying flat and gently supporting your upper ribcage and your hip area? Is your corset gap straight or uneven? Or is the corset overall not curvy enough: and is it giving you muffin top, pinching your hips or causing any lower tummy pooch to spill out underneath? A well-fitting corset is not only more effective at shaping, but it’s also much more comfortable, so you’ll be encouraged to wear it longer and more often.

 Strength

  • Is the corset strong? Does it hold up to the tension without buckling? Are the seams securely stitched? Are the bones creating a proper scaffold and not digging into your body? Are the grommets holding in? Having to put your training on hold – not because you want to, but because your corset breaks every 2 months and you have to replace it – is not cost effective and it’s not time-effective. If you’re in this for the long haul, invest in something strong and custom. See my article on Waist Training vs Tight Lacing, which also covers different requirements of a suitable corset for each.

Silhouette

  • Is the corset the right silhouette to do the right job? If you want to train your ribcage, you might need a conical ribcage corset, which gradually tapers down and increases the pressure on the lower ribcage. A corset with a mild silhouette or with a corset with a rounded ribcage will give you a different effect. Be sure that the corset you are using is designed to do for you what you want. You can’t force a round peg through a square hole and expect a triangle to come out.

 

Factor #3: Your Lifestyle Habits and Training Methods

I demonstrate a bicycle crunch, one of the staples of my daily core workout.
I demonstrate a bicycle crunch, one of the staples of my daily core workout.

 Supplementary Exercise

  • Are you exercising alongside your waist training? Adding or increasing core resistance training can help you see results faster by encouraging your muscles to “heal” in a certain way. Even if you have no intention of losing weight (you only use a corset to see a change in your silhouette), exercise is still important! If you don’t add some core resistance training, your torso may see some shaping from the corset, but it may be squishy and complacent, and not hold that hourglass shape as well as if you were combining it with resistance training.

 Eating

  • Are you eating clean? Are you getting enough fiber so that you stay regular when corseting? Are you avoiding foods that you know can cause bloating or discomfort in your corset? Are you having regular small balanced meals, or are you the type to fast and then feast? Corseting over a large meal can be uncomfortable and difficult, and the quality of that meal also counts. You don’t necessarily need a specific diet for waist training, but eating sensibly goes a long way.

Drinking

  • Are you staying hydrated? Are you getting a lot of clean water or tea? Are you keeping your electrolytes balanced (this ties in with water retention). Are you watching your blood pressure (which relates to your blood volume)? Do you take in a lot of caffeine or other diuretics, and are you making sure that your water intake balances that out?

Duration of your corset wear (and reduction)

  • To get the best results in a corset, you have to use it. What method of waist training are you using? There is Romantasy’s “Roller Coaster” method, and there is the Contour Corsets “Cycle” Method (see the differences between the two waist training methods). Some people use a combination of both, or they may try a different method altogether. Some people consider waist training as wearing their corset only 8 hours a day while they’re out working. Others waist train by only wearing a corset to bed at night. Some people wear their corsets 12 or 16 hours a day, and a few very dedicated ones wear their corset 23 hours a day.
  • The body responds best to consistency – for reasons I’ll explain in an upcoming article, you’ll probably see more results (and more comfortably!) if you wear a corset at a light or moderate reduction for long hours, as opposed to tightlacing or overlacing your corset for an hour and then not wearing it again for a few days.

Let’s use an infomercial exercise program as a metaphor for waist training expectations. Many exercise programs say that you CAN lose UP TO 20 lbs per month (as an example), but read the small print and you find that these results are not typical. Many of these programs are also backed up with a guarantee that with proper compliance to the program, you will see some kind of result (often within 60 or 90 days) or your money back.

But you will notice that they do not guarantee a certain number of inches lost, because people have different bodies, different fitness levels, different levels of compliance. It’s the same with a waist training program.

Ann Grogan (of Romantasy) offers the only corset training program I currently know of – in her some 25 years of working with waist trainers and 14 years officially coaching, she is able to confidently say that with her 3-month waist training program, you’re likely to see some noticable results in your natural waist with proper compliance to the program (the program covers a lot of factors: the type of corset you’re using, the reduction, the hours, the foods you eat, the exercises you do, etc). But since each program is personalized based on goals, each person’s compliance is different and each person’s body accommodates their corset differently, it’s still very difficult to precisely predict how many inches you’ll lose, or how fast.

What I have found is the highest indicator of success is whether you actually enjoy wearing your corset and find it completely comfortable. If you practice patience, and wear your corset consistently (and ironically, not be overly attached to your end goal), you are likely to see more results over time than someone who is less patient and is only corseting for the end result. But I will cover that in another article soon.

Do you currently waist train, or did you train in the past? How long did it take you to see results? Let me know in a comment below!