No, it's not Joan from "Mad Men." It's an ad in the back of a 1913 Italian journal - "Corriere della Sera."
I've had to buy a number of newspapers from the period of the theft 1911-1913. They aren't as advertising-laden as our papers are today but the ads are typically charming, sometimes puzzling, and like this one, often hysterically funny.
It has the headline "IL SENO," which means "the breast." And it's an ad for Crema Americana - a breast enlargement cream. So even back in 1913, Americans were in the forefront of breast enlargement technology. And the Italians couldn't help but be interested.
If any of my friends reading this who know Italian would care to translate....

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