Matuschka started creating art work when she was sixteen. Since then, through her work both as a model and as a photographer, she has become an expert at creating beautiful looking images of women. Since the early 1980's most of Matuschka's images have been of her own body, a practice which she continued after her treatment for breast cancer in 1991. Matuschka's work as a fine art photographer and as an activist has been recognized by many organizations, and she has received awards from the World Press Foundation, the Art Director's Club, and the Rachel Carson Institute, among others. Her photograph Beauty Out of Damage was nominated for a Pulitzer after appearing on the cover of The New York Times Magazine, and she has also been presented with the Gilda Radner award for her important role in increasing awareness of cancer-related issues.
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