Skip to main content

Asia's ideal beauty: Looking Caucasian

By Dr. Anthony Youn, Special to CNN
updated 8:49 AM EDT, Wed June 26, 2013
Ads for cosmetic plastic surgery dominate the walls of Seoul's Apgujeong station.
Ads for cosmetic plastic surgery dominate the walls of Seoul's Apgujeong station.
STORY HIGHLIGHTS
  • One in five Korean women from 19 to 49 have had plastic surgery, 2009 survey says
  • The older generation may push those younger to have work done
  • The majority of surgeries are considered "Westernizing" procedures

Editor's note: Dr. Anthony Youn is a plastic surgeon in metro Detroit. He is the author of "In Stitches," a humorous memoir about growing up Asian-American and becoming a doctor.

(CNN) -- "Dr. Youn, my daughter is so ugly."

A Korean mother in her 50s sits before me in the exam room, her teenage daughter next to her.

"You need to fix her ugly nose, open up her eyes and give her a double fold of her eyelids," the woman says.

"Okay," I look at her daughter. "Jane, what do you think? Is this something you want?"

Dr. Anthony Youn
Dr. Anthony Youn

Jane stares at the floor, unmoving. Then she speaks, eyes still looking downward.

"I guess. Whatever my mom says."

Plastic surgery is hot in Asia. One in five South Korean women from 19 to 49 have undergone cosmetic surgery, according to a 2009 survey from market-research firm Trend Monitor. That's reportedly compared to about one in 20 in the United States.

Visit the world's plastic surgery capital

Bullied kids get free plastic surgery
Study: PIP implants do not cause cancer
Free plastic surgery for teachers

Although the United States and Brazil are the top two countries in sheer number of plastic surgeries performed, China and Japan are numbers three and four, according to the International Society for Aesthetic Plastic Surgeons. South Korea, with a population of almost 49 million, is ranked seventh.

Asian culture has embraced cosmetic surgery. Unlike in the United States, it's no longer considered taboo to admit to having been nipped and tucked, even among celebrities. Miss South Korea 2012 confessed to having gone under the knife, revealing, "I never said I was born beautiful."

Interestingly, I find that the older generation often pushes younger people to have work done. I've met several Korean parents in their 50s and older like Jane's mom who have no qualms about encouraging their children to undergo plastic surgery. They even poke and prod at their kids' faces to suggest how a surgeon should improve their looks.

The majority of facial cosmetic operations performed on Asians are considered "Westernizing" procedures. Two of the most popular, nose jobs (rhinoplasty) and eyelid lifts (blepharoplasty), are specially designed to make these features look more Caucasian.

2011: Plastic surgery boom as Asians seek 'Western' look

Asians generally have wider and flatter noses. Asian rhinoplasty narrows the nose and makes it project more, similar to a European look. Asian blepharoplasty creates an extra fold in the upper eyelid. While present in nearly all Caucasians, this extra fold occurs naturally in only 15% of East Asians.

While Asian plastic surgeons claim that these procedures are meant to retain their patients' ethnicities and make them generally more attractive, I don't buy it. To put it bluntly: Facial plastic surgery on Asians is about making a person look as Caucasian as possible.

And that's a disturbing thought.

Full disclosure: As a young plastic surgeon, I trained in these types of procedures. I even performed a handful of them in my early practice. As a hungry young surgeon, I had no qualms about performing operations such as double eyelid surgery. The ethics of whether these procedures were right or wrong never really crossed my mind.

And then a string of events caused me to reconsider whether I should continue to perform these operations. Are these surgeries really the right thing for patients? For society?

First, I encountered Jane and her mother.

Then, I received a request from a mom to perform an Asian eyelid surgery on her son. "He really wants the surgery done," the mother said. "He wants to look handsome." Then I found out her son was only 8.

And I had a daughter. The most beautiful girl I've ever seen -- perfect in every way. She looks just like her mother, except for one feature that she's inherited from her daddy.

She has no fold of her upper eyelids.

And I hope she never feels the need to change that.

What do you think? If you're Asian, have you considered these types of procedures? Is it wrong for Asians to idealize stereotypical Caucasian features? Leave your comments below or on the CNN Health Facebook page.

Getting back at your ex -- by getting surgery

The opinions expressed above are solely those of Dr. Anthony Youn.

ADVERTISEMENT
Part of complete coverage on
updated 10:10 AM EDT, Mon April 21, 2014
In South Korea, volunteer divers are risking their lives to rescue victims of the sunken ferry.
updated 9:01 PM EDT, Tue April 22, 2014
Park Jee Young, 22, helped passengers escape as the Sewol ferry sank -- giving out life jackets while refusing to wear one herself.
updated 12:43 PM EDT, Tue April 22, 2014
What did outgoing manager David Moyes get wrong in his six months with English Premier League football team Manchester United?
updated 5:25 PM EDT, Tue April 22, 2014
In honor of Shakespeare's birthday, here are 15 of the world's most amazing theaters.
updated 1:34 PM EDT, Tue April 22, 2014
CNN exclusive: Australian officials are hammering out a new agreement for widening the Flight 370 search area.
updated 8:28 AM EDT, Tue April 22, 2014
Malaysian officials sent to brief Chinese families are armed with little to no information.
updated 11:45 AM EDT, Tue April 22, 2014
When a team of Indian surgeons opened up the stomach of a 63-year-old man, they had no idea they'd extract a fortune.
updated 3:01 AM EDT, Tue April 22, 2014
Do these photos CNN of gun-toting men wearing green uniforms prove Russian forces are in eastern Ukraine?
updated 7:06 PM EDT, Tue April 22, 2014
If the Duchess wears it, then your fashion career is sorted for life.
updated 9:30 PM EDT, Mon April 21, 2014
Tucked away near the border with Cameroon, this poor corner of Nigeria is no stranger to such brazen, violent acts.
updated 8:34 AM EDT, Tue April 22, 2014
An infant mountain Gorilla sits in the dense jungle canopy on the edge of Uganda's Bwindi National Park in this 29, January 2007 photo. Bwindi, or the 'Impenetrable Forest' as it is known to many tourists is home to the majority of Uganda's rare and endangered mountain gorilla population where plans are underway to habituate two more gorilla family groups to counter growing demand from a flourishing gorilla trek tourism business, a major source of income for the Uganda tourism Authority. AFP PHOTO / STUART PRICE. (Photo credit should read STUART PRICE/AFP/Getty Images)
Tthe constant threat of poaching, deforestation and human diseases means the world's mountain gorillas could be completely wiped out.
updated 9:03 AM EDT, Tue April 22, 2014
Prince George takes a special interest in an Australian animal on a zoo trip.
updated 10:02 PM EDT, Mon April 21, 2014
How could a teenage stowaway survive hours in a jet's sub-zero wheel well at 38,000 feet?
updated 12:28 PM EDT, Tue April 22, 2014
Browse through images you don't always see on news reports from CNN teams around the world.
updated 6:58 AM EDT, Tue April 22, 2014
See what life is like for superyacht stewardesses-in-training. One thing's for certain -- they can never say "no."
updated 10:57 PM EDT, Mon April 21, 2014
Home of Bruce Lee, divine dim sum, lofty buildings, loftier real estate prices and easy access to the great outdoors.
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT