Home > Bibliographies > AAST298J (Spring 2004)
Surgeons in the U.S. have more and more ethnic patients each year. To meet their requests, doctors are performing surgeries to enhance, instead of change natural features. Asian American patients are famous for requesting double eyelid surgery, but now only about "one in twenty wants to look more Western." Many are asking for more subtle changes to preserve the shape of their natural eye. Besides the usual procedures of performing eye surgery, most doctors are saying that Asian Americans are just as conscious of their wrinkles as other women. As minority groups become more affluent, they are increasingly requesting procedures that are popular amongst Caucasian women such as Botox.
The plastic surgery industry in Asia is booming because of the obsession with appearance. People from all over the world travel great distances to access the services of leading surgeons in Asia. Not only are these physicians rumored to be better, but also cheaper. This wide acceptance of plastic surgery in Asia, or more specifically, eyelid surgery, has carried over to the United States. Many Asian Americans travel to Asia and undergo procedures for a much cheaper price. Plastic surgery can be dangerous in Asian countries due to an increase in underground beauty clinics and unlicensed practitioners. With promises of discounted surgery, students and poor people are lured in. Botched surgeries are also more common, but lawsuits do not receive as much as attention as in Western countries. In Asia, surgery is seen as necessary to further one's career. While women are the majority of those participating in this trend, men are also receiving plastic surgery such as eyelid reconstruction and nose shaping. They cite career advancement as a motivation to undergoing these operations. Many link plastic surgery to finding a spouse, better careers, and enhancing self esteem.
When Asian American women are asked why they choose eye surgery, they simply reply that it makes them look better. But what about rounder eyes make women look better? Is it because of the Western ideal of beauty or have their mothers, aunts, and grandmothers told them over and over that rounder eyes will benefit them in the future? Many Asian American women have a nonchalant attitude about plastic surgery, stating that it is no different from perming their hair or putting on make up. However, some disagree, saying that surgery is a form of ethnic cleansing. A Korean movie director searched for months and months to find an Asian actress without creases to be in a movie. He ended up using an amateur. One Asian American woman said that it had to do with the culture. When visiting South Korea, she saw the enormous popularity of eye lid surgery and related it to culture. Like mini skirts, the author suggests that cosmetic surgery can be understood as a cultural trend.
Described as "internalized racism" and "conforming to mainstream ideals," eyelid surgery has gone from total acceptance in Asia to garnering criticism in the U.S. However, Asian American women defend the procedure saying it is a way to make them look better, but not necessarily more Caucasian. Supporters of the surgery feel that undergoing the procedure does not hinder a woman's ties to her ethnic culture. Doctors were quoted in the article stating that no Asian American woman has ever gone through surgery requesting to look more Western. During the 1950s, women generally asked to look more Caucasian, but as times changed and women worked towards self acceptance, a "Caucasian" eye was no longer requested. Asking to make their eyes more Caucasian resulted in unnatural creases and unusually big eyes. In fact, most women ask that the surgery be natural and stress the importance of looking Asian.
This documentary is about the lives of multicultural teens and their struggles balancing identities as Asian Americans and assimilating into American culture. MTV news correspondent, SuChin Pak uses her own experiences as a Korean American teen and the confusion that comes with being multicultural. She addresses the issue of double eyelid surgery attempting to identify why this surgery is accepted practice. SuChin also interviews a young Asian American teen who goes through eyelid surgery on the show. When asked why she was getting the surgery, the teen replied that she thought it would make her look better. She stressed that it wasn't to look more Caucasian. It was a very striking documentary because the viewer could tell how interested SuChin was in the topic, probably because she was in a similar position years ago. Although SuChin never went through with the surgery, to this day she questions that decision. The documentary closes with one of SuChin's aunts telling her that she would look better with the surgery, while another aunt tells her that she looks very pretty without it.
Dr. William Middleton answers frequently asked questions posed by prospective Asian patients. He describes the Asian eye as heavy, with loose skin and bags. He also comments that heavy eye lids can create an "unfriendly" appearance. Conveniently, he comments that having surgery will make Asian Americans appear more youthful. Although this section of the website was probably a way to garner more patients, I felt that his usage of words and labeling the Asian eye as something undesirable is the epitome of the attitude that many Asians have when it comes to their eyes. This belief that Asian eyes are not as youthful or alive as other eyes influences the decisions of Asians to receive the surgery.
The most popular form of plastic surgery among Asians Americans is called blepharoplasty, which means to shape your eyelid. Asians have been known to get this surgery to make their eyelids appear rounder, and some would say, more Caucasian. Some argue that this is not a racial thing. Plastic surgeons say that no Asian has ever come to appointment asking to look whiter. Many feel that it makes them look more awake and helps with applying eye makeup. Carrie Chang who edits the magazine Monolid feels that eyelid surgery is a way to erase a characteristic that is distinctly ethnic. The argument about whether blepharoplasty is racist is an ongoing debate. Some feel that the procedure is encouraged by the media's negative portrayal of "Asian eyes." Overall, many who receive the surgery seem happy with the results and state that "everyone thinks it looks better."
This article describes the challenges that doctors in the U.S. have with nose surgery (rhinoplasty). In addition to these challenges, their unfamiliarity with Asian noses makes it very risky for Asian Americans to receive nose surgery. However, Dr. Nazih Haddad describes special types of techniques to treat and shape Asian noses. He notes certain differences between Asian and Caucasian noses such as skin depth, bone structure, and cartilage. He uses many words that relate the surgery to art such as sculpting, shaping and remodeling.