Throughout her life, Sarah Thornton hadnât given much thought to her breasts. They were there, of course, and theyâd fed two children. But they had also attracted unwanted attention, and latterly theyâd become a source of concern â with a history of breast cancer in her family, and after years of vigilance and tests, in 2018 Thornton was about to undergo a preventive double mastectomy. Preparing for the operation, she realised she still hadnât given them much consideration, nor what it would be like to have ânewâ breasts in the form of implants. When they turned out to be bigger than expected, she was shocked, âbut in the end,â she says, âit wasnât the aesthetic form as much as the feeling. It was like losing sentience. And it put me on a quest to understand these things that Iâd never thought too much about. These things Iâd kind of dismissed as dumb boobs.â
Thorntonâs new book, Tits Up: What Our Beliefs About Breasts Reveal About Life, Love, Sex and Society, is a deep dive into the bosom of our fixation with boobs. Writing the book, she says, has transformed how she views her own breasts. âI really did go from dismissing them as a kind of shallow accessory, to thinking of them as a really important body part â one we wouldnât have a human species without,â she says. âOur top halves have been invaded by male supremacy and I did not realise how deeply patriarchal even my own view of breasts was. I was dismissing them as dumb boobs, partly because theyâre positioned primarily in culture as erotic playthings and I didnât want to just be an erotic plaything.â
She doesnât want to be a killjoy, she says. âBreasts are not evolutionarily, or universally, erotic. But the sexualisation of breasts causes many women a lot of stress, anxiety and dissatisfaction. That is a real shame, if not a serious political problem, and I think elevating the esteem of this body part thatâs so emblematic of womanhood is important.â
Iâm speaking to Thornton at home in San Francisco. She grew up in Canada, with a British mother, then spent 26 years in the UK, where she was an arts journalist, academic and author of books including Seven Days in the Art World. She has lived in the US for 12 years, now on the west coast with her wife, the gallerist Jessica Silverman. They often use the word âtittiesâ (âI have a lot of affection for the word,â she says) with their 18-month-old daughter. âI was really struck by the fact that in Chinese one of the dominant slang words is the equivalent of âmilkiesâ. Thatâs just not true in the US, or Anglo-Saxon culture. The only equivalent word would be âjugsâ, as something that suggests nutritional function, which is the evolutionary raison dâetre of our tits.â
Thornton likes âtitsâ, and the âtits upâ of her book title is American showbiz slang for good luck, a much more positive association than the British version meaning hapless or disastrous. âTits is the No 1 word used on the internet for breasts,â she says, âand it seemed to me that if women were going to reclaim these words, then we needed to branch out. In the US, men use a much broader vocabulary to describe breasts than women do, and that struck me as a red flag. How come teenage boys can use 10 words and teenage girls use one? Itâs like, who thinks they own them?â
And so Thornton is keen to reclaim words such as tits. She also appreciates the word ârackâ, something, she adds, which gives the impression of âall the cultural baggageâ hanging off it. âA liberated rack has no particular appearance, it is what it is and it just works for its owner. A liberated rack isnât ashamed, it does what it wants to do. So if you want to free the nipple, you go there; if you want to bundle up in a triple-thick sports bra, do that too. Thereâs not a singular liberated rack, thereâs lots of ways to do it. I know this pluralism sometimes feels over liberal, but when it comes to womenâs bodies, itâs hard to be liberal enough.â
For many girls, the development of their breasts is often the first time they become uncomfortably aware of heterosexual male attention. When Thornton was 15, her breasts were groped by an older male colleague at a golf club restaurant where she was working. Not long afterwards, at a sleepover, she was assaulted by the much older boyfriend of her friendâs sister in the middle of the night. Her breasts, she writes, âhad become defeated fools â boobs in the literal sense â that needed to be buried in oversized sweaters.â Looking back, she says, âit was a significant event in my bodyâs history. Iâm sure that fed into me being the kind of person who was not someone to flaunt my cleavage. I have such deep respect and love for women who love their cleavage, I just wasnât good at that. I felt so awkward and vulnerable.â
When Thornton came to breastfeed her two older children, now in their 20s, her breasts took on a different meaning, but it wasnât a particularly positive experience. âI really wish I had loved breastfeeding more than I did. I didnât love it and itâs partly because my breasts were such a source of conflict for me.â
Thorntonâs research took her from strip clubs to cosmetic surgeonsâ clinics to donor milk banks. âThe whole book is really told through womenâs eyes,â she says. For one transgender woman she interviews, breast surgery was âan essential part of her validity as a womanâ. The women who donated to milk banks were not exploited subordinate wet nurses but âallomothersâ in the millennia-long precapitalist tradition of communal child rearing. In the strip and lapdance clubs â Thornton is in the âsex work is workâ camp, which may jar with many feminists â she comes to the conclusion that, for the women who work there, breasts are not so much sex objects âas much as salaried assistantsâ. One dancer suggested that having men confronted with her breasts felt more humanising â they were also forced to look at her face â than when it was her bottom being objectified.
An artist, Clarity Haynes, who does a portrait of Thorntonâs breasts, used to be a stripper. âShe said it was fine if she was getting paid for it,â says Thornton, âbut she would get so irate if she was just walking down the street and guys decided to ogle her.â
Given our breast-obsessed culture, itâs thrilling to realise that it was only relatively recently that breasts took on quite so much sexual importance. Thornton traces their sexualisation in the west to 15th-century France. âYou need breasts to be disconnected from their primary use in order for them to be fully eroticised, and the first real cultural evidence of that is in French Renaissance painting, with portraits commissioned by French kings of their mistresses who had these pristine breasts â you even have the wet nurse in the background with her heavy, saggy milk-filled âjugsâ as a contrast to the perky unused breasts of the mistress.â
Thornton argues that there is a strong link between the sexualisation of breasts and higher rates of formula feeding. As formula became more widespread and affordable â in the US, breastfeeding hit its lowest rates in the 1970s â breast fetishism exploded. She believes in the right of women to choose to formula feed â âit would be inconsistent and preachy to tell another woman what to do with her boobsâ â but she points out that she has always had a problem around the word âchoiceâ, âbecause choices are not equal, we donât make our choices on a level playing field.â
In a culture where breastfeeding in public can be uncomfortable for many women, support to get it established is missing and lack of employment rights can hinder it. Then there are the women who canât, or wonât breastfeed for any number of reasons. âOne of my interviewees was the victim of sexual abuse and she decided prior to giving birth that she would not breastfeed.â
The woman, Elysia, turned out to be such an abundant producer of milk that she ended up donating 80 US gallons to a milk bank that feeds premature babies. Her son also thrived on her milk. âBut she never breastfed. She pumped and delivered raw milk to him, fresh, from âjugâ to jug. Whatâs really beautiful about that story is that she totally changed her relationship with her breasts through that experience. These things that she felt excruciating pain and shame around became something she had love for because they nourished her boy so well.â
Breast fashions change, and in the latter half of the 20th century, large breasts were desirable, and womenâs feelings about their breasts âstarted to be influenced by implant shapes â the round Pamela Anderson shape and sizeâ. Even if that is no longer fashionable, âbreast surgery is not going away,â says Thornton. âThe lift is on the rise.â
Although she met some male surgeons, âone of whom I call Dr More, because it was always more, more and moreâ, in her book Thornton chose to focus on female surgeons, who tended to have a far more natural and subtle approach. Thornton sat in on one operation on a woman in her 40s who was having her large implants removed and her breasts lifted. In the US, the number of implants peaked in 2007, writes Thornton. Dr Carolyn Chang, whose operation Thornton watches, tells her that âimplants, or at least large ones, are becoming less fashionable. Women want athletic bodies.â
When Thornton ventured into the world of bra design, she found a dominance of foam cups that created a smooth, round appearance and hid the wearerâs nipples â a word that is rarely uttered in the industry, which instead prefers to talk about a breastâs âapexâ (one notable exception being the Skims ânipple push-up braâ, which features a moulded nipple shape, launched recently with much hype).
This brought Thornton to the Free the Nipple movement, which began in 2012 to highlight the sexualisation of female nipples and give women the same shirt-free rights as men. In the beginning, Thornton says, she had doubts about it. âI was like, is it really important? After doing the research, Iâve come to the conclusion that itâs a really fundamental problem.â She writes that she believes âhiding this fundamental mammalian marker is integral to womenâs inequality and disempowerment.â Thornton smiles. âDo you think thatâs an overstatement? What I would say is menâs and womenâs chests are not treated equally in our society and arenât associated with the same thing.â
It comes to a point with nipples in particular. Menâs nipples are visible everywhere, but also unnoticed. âI didnât even notice them until I started working on this book and then I just saw menâs nipples everywhere. A white shirt is a recipe for a male nipple.â Women tend not to be comfortable showing theirs, âand itâs partly because thereâs this notion that our breasts are primarily sex objects, they donât belong to us and if we take our top off, weâre going: âCome fuck me.â I genuinely believe that the dismissal of our breasts for the complex things they are is a serious problem for women.â
She hopes that her book will go some way to help elevate the status of breasts, and that women may feel âless critical, more acceptingâ. Will sagging, ageing breasts ever not be considered, at best, a joke in our culture? Thornton sighs. âAgeing is not generally accepted. We live in a world that is so fast-changing that the meaning of wisdom has shifted.â She misses her âsaggy boobsâ, she says. âI wish I could give the affection to them that I now feel.â Before her double mastectomy and implants, she took her breasts on what she calls their âfinal outingâ â to the pool at a fancy hotel and, as she swam, thanked them, and apologised for not appreciating them enough over the years.
She is silent for a while and looks suddenly emotional, then says she recently switched gyms; her new one has a lot of older women. âI see a lot of saggy boobs in the dressing room, and I actually feel love for them, genuine affection.â It took her a few years to accept her new breasts. âIâm very grateful that I dodged the bullet of breast cancer and that the experience led me to a place where I learned a lot.â She remembers one of the women she interviewed, a voluptuous burlesque dancer named Dirty Martini. âShe said breasts are a gateway to body positivity and I actually think thatâs true for a lot of women. Theyâre front and centre, part of us.â
Tits Up by Sarah Thornton is published by Bluebird (£20). To support the Guardian and Observer order your copy at guardianbookshop.com.