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However, Coughlin said the winner can be male or female and can opt instead for a tummy tuck, nose job or another form of cosmetic surgery comparable in price to the breast procedure.
The contest has drawn criticism from those who contend it promotes poor body image.
"I think the overall message is here's a shortcut to fixing something that's wrong with you -- which may or may not be wrong," said Sharon Mitchell, director of counseling services for the University at Buffalo.