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What to Know About Eyelid Surgery, According to 2 Plastic Surgeons

Plastic surgery seems to be more common than ever, but the reality is that we’re finally talking about it. Whether it’s celebrities opening up about what they’ve had done — like Bella Hadid with her rhinoplasty surgery — or people talking about the pressure to have a perfect “Instagram body” (which has popularized the Brazilian butt lift procedure), conversations around “tweakments” are becoming increasingly prevalent. One procedure, in particular, korea plastic surgery has started making waves on TikTok: eyelid surgery. The procedure, which has been around for years, was resurfaced by a recent viral video that brought in more than 100,000 views. In the video, TikToker Julia Carpenter shows the before and after of her eyelid surgery. Users flooded her comments section, saying that they had either been korean plastic surgery thinking about the surgery themselves or had already gotten it done. So what exactly is eyelid surgery? To better understand the procedure, we spoke with double-board certified oculofacial plastic surgeon Robert Schwarcz, MD, and oculoplastic surgeon Kami Parsa, MD, who discuss everything from downtime to price.

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Kami Parsa, MD, is an oculoplatic surgeon based in Los Angeles.Robert Schwarcz, MD, Manhattan-based double-board certified oculofacial plastic surgeon.

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When Korean exchange student Haein Do was 16, she underwent double eyelid surgery. Double eyelid surgery creates an eyelid crease, resulting in a larger and more symmetric,  almond-shaped eye according to Stanford Medicine’s website. Do’s case isn’t unique back in Korea. According to the Economist, 1 in 5 Korean women have undergone plastic surgery, compared to just 1 in 20 in the United States.“I think I personally know around 10 people who have had plastic surgery,” Yena Jeong, senior Korean exchange student, said. Some of the factors behind these numbers are that cosmetic surgery in South Korea is ingrained in societal norms, cultural standards and the entertainment industry. Senior Korean exchange student Kim Baekgyu said that the impact of K-pop idols, culture and social networks were factors behind the high rates of cosmetic surgical procedures. Additionally, shows like “Let Me In” that focused on doing complete make-overs like plastic surgery normalized procedures for the Korean masses according to Dutch national television station NPO 1. Do agreed that social media networks like Instagram and Facebook promote slim body shapes to teenagers. Baekgyu’s younger brother felt the effects of the pressure of Korean society. Baekgyu said that his younger brother suffered from an inferiority complex due to the size of his eyes. He saw getting a double eyelid surgery as a way to be more confident in himself. His parents were initially against him getting the procedure, but his insistence wore them down. He got surgery at the age of 21.“He feels better than before,” Baekgyu said.In a survey administered by Gallup, plastic surgery has become more accepted in Korea over the past few decades. Of the 1500 Koreans surveyed in 1944, 38% agreed that a woman can get plastic surgery for marriage. Of those surveyed in 2015, 66% agreed as well. The normalization of cosmetic surgery goes back to the Asian Financial Crisis of 1997 when the unemployment rate rose from 2.61% to 6.8% according to Brookings. Approximately 1 million technicians and unskilled workers lost their jobs and were the most severely affected groups of individuals. In South Korea, job applicants across all sectors have traditionally been required to include a photo of themselves in applications; one study found that 80% of job recruiters in South Korea stated that physical appearance was an important factor in screening candidates. Consequently, the Asian Financial Crisis resulted in many patients resorting to plastic surgery as job opportunities became scarce and workplace competition increased. Conversations about appearance are not foreign in Korean churches either, as seen in Do’s story. “I had people say, even in churches, that my eyes were really small,” she said.That, along with constant remarks on her eyes from friends and family members, led her to have the double eyelid procedure done at the age of 16. Do said that after the surgery, boys would tell her that she looked prettier than before. “I gained confidence since the surgery.” said Do, “I got higher self-esteem.” She hastened to say that she wouldn’t get any more procedures done on her face.Do is wary of the danger of becoming a “Gangnam Miin” — people who become addicted to getting multiple surgeries. The name originates from those who frequent the multiple cosmetic and plastic surgery clinics in the Gangnam-gu district in Seoul. korean plastic surgery before and afterJeong said that some of the side effects of having even a single cosmetic procedure done include possibly getting addicted or not getting the result that the patient wants and thus desiring more procedures to correct it. Dissatisfaction is common due to the abundance of “ghost surgeries” where unlicensed individuals substitute the qualified surgeon in an operation.According to the Korean Society of Plastic Surgeons, ghost surgeries are “rampant” in the South Korean cosmetic surgery industry. Ghost doctors are often unlicensed and unqualified to perform the operations they are hired for, with some plastic surgeries being performed by dentists, nurses or salespeople.The Korean Society of Plastic Surgeons estimated that there were about 100,000 victims of ghost surgery in South Korea between 2008 and 2014.Baekgyu cautioned against setting one’s appearance over God. “Sometimes appearance can be an idol in our lives,” he said. The convergence of cultural, social and economic factors continues to shape South Korea’s cosmetic surgery landscape. While attitudes may be shifting towards greater acceptance, the risks and ethical implications remain significant. As individuals navigate the complexities of beauty ideals and personal identity, the conversation surrounding plastic surgery in South Korea is far from over.

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The number of foreign patients visiting South Korea for medical tourism hit a record high last year, driven by those who traveled to Korea for skin care and plastic surgery.The Ministry of Health and Welfare said on Monday the number of foreigners who visited Korea for medical purposes reached an all-time high of 605,768 in 2023 – a 144.2% increase from 248,000 in 2022.Last year’s figures represent the highest since 2009 when domestic medical institutions were allowed to attract foreign patients and a 21.8% increase from the pre-pandemic high of 497,000 in 2019.Foreign patients refer to non-resident foreign nationals who are not covered by Korea’s national health insurance program.The ministry, which has been promoting a strategy to attract foreign medical tourists to the country since last May, attributed last year’s decent growth to Korea’s advanced medical technology and services.

SKINCARE, PLASTIC SURGERY MOST POPULAR

More than half of the foreign patients who visited Korea last year received treatment for dermatology (35.2%) and plastic surgery (16.8%).Foreigners who visited internal medicine doctors accounted for 13.4% while those who visited health check-up centers stood at 7.4%.Foreign patients from a total of 198 countries visited Korea last year.By country, Japanese patients topped the list with 187,711, accounting for 31%, followed by China with 112,135 people or 18.5%, the US with 76,925 or 12.7%, Thailand with 30,844 or 5.1% and Mongolia with 22,080 or 3.6%.


By type of medical institution, 66.5% of foreign patients used clinics, followed by 13.5% for general hospitals and 10.6% for tertiary general hospitals.Oriental medicine clinics saw the highest foreign patient growth rate with an increase of 690% last year.“Foreigners seem to have shown greater interest in oriental medicine clinics where treatment is often done with acupuncture or medicine instead of surgery,” said a ministry official.

SEOUL, TOP PLACE FOR SKIN CARE, PLASTIC SURGERY

Of all foreigners who traveled to Korea for medical tourism last year, 78.1% went to Seoul.https://2112111e8d485f74d7e73da13629aa0f.safeframe.googlesyndication.com/safeframe/1-0-40/html/container.htmlThe greater Seoul metropolitan region, including surrounding Gyeonggi Province, accounted for 88.9% of all visiting foreign patients, according to the ministry.korea plastic surgeryThat’s because most plastic surgery and dermatology clinics are located in Seoul and the surrounding metropolitan area, industry officials said.“Based on the high global competitiveness of Korean healthcare, we will keep up efforts to make the country the medical tourism hub of Asia,” said Jung Eun-young, director-general of the ministry’s Health Industry Policy Bureau.“We’ll also ensure the increasing number of foreign patients coming to Korea doesn’t affect the quality of medical services given to Koreans.”

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Julie Chen Moonves Explains Why She Had Double Eyelid Surgery, Says She Has No Regrets

Julie Chen Moonves says in her new audio memoir that she was told by an agent that she needed double eyelid surgery to be successful in the entertainment industry and she’s explaining why she decided to go for it.

The Big Brother host opened up during an appearance on SiriusXM’s Andy Cohen Live this week.

“It was something I had thought about when I was younger, and I never thought I would be presented with an opportunity or a reason to have it done,” Julie said.The video player is currently playing an ad.

She continued, “You know, in the Asian community, a lot of us girls growing up, we would cut scotch tape and we would put it over our eyelids and then open our eyes to make them look bigger, to have that crease. The double eyelid as it’s called, and when this agent said to me, ‘If you get this done, you’re going from Dayton, Ohio to a top ten market your next move. No question.’ I was like, I presented to my parents, and they were like, ‘Well, let’s do it.’ My parents were so supportive and once I got the green light from them, I mean, the guy even gave me which doctor to go to in Los Angeles.”

Andy asked Julie if she has any regrets about doing it.

“No. None. None,” she replied.

Julie recently explained how Leah Remini “betrayed” her and how they eventually became friends again.

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The relationship between double eyelid surgery and race is a complex one. Back in 2007, Tyra Banks invited Liz, a Chinese-American woman, on her show to talk about her double eyelid surgery. Banks accused her guest of “ethnic tweaking” to make herself look wide-eyed and Caucasian, despite Liz’s protests that it was merely to prevent her eyes from drooping. Then there is the infamous story of Julie Chen in the 90s, the Chinese-American television personality who underwent double eyelid surgery after her boss said she’d never make it as a top news anchor because her eyes made her look “disinterested” and because she was Chinese.

In 2017, an estimated 1.3 million people worldwide underwent double eyelid surgery, according to a report by the International Society of Aesthetic Plastic Surgery. The procedure is particularly popular in Asia, where it is the most commonly requested surgery. In Japan, for example, 187,000 eyelid procedures were done in 2017 – well over the amount of every other surgical procedure combined (roughly 107,000).   

Around 50 per cent of Asians are born without a visible eyelid crease above their lash line (meaning they have monolids). In 1896, Japanese surgeon Mikamo developed the procedure known as blepharoplasty in order to address this, believing the double eyelid to be “more attractive”.  “The double eyelid creation is a fairly common procedure,” says Singapore’s leading plastic surgeon, Dr Ivor Lim. “It’s usually performed on what we call ‘Mongoloid Orientals’ (Chinese, Korean, Japanese…). Anatomically, this eyelid has an extra fold of skin called the epicanthus in addition to the low position where the eyelid skin is adherent to the underlying structures, combined, these features give the appearance of a ‘single’ eyelid. Some orientals have the ‘Western’ eye to begin with and do not have a prominent epicanthus.”

There are two ways to perform the 30-minute eye browlift. First is the closed thread/suture technique where simple stitches are used to create a depression in the skin. Second is the open incision technique, which creates a more intricate design. It is important to note that this surgery is also performed on people with natural double eyelids, to either increase eyelid exposure, make them symmetrical, or tighten the skin where the eye starts to sag. It costs about £2000-£6000 (depending on what anaesthetic you choose and the complexity of the surgery).

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