Cosmetic surgery in South Korea

A before and after comparison of a double eyelid surgery.

This form of cosmetic surgery is also known as the "double eyelid surgery". It is a surgery that reshapes the skin around the eye, resulting in a crease on the upper eyelid. The procedure is popular not just in South Korea but also other Asian countries like Taiwan and India.[17]

The double eyelid surgery can be done in several ways, with the main difference being the form of incision. The full incision is often done to patients with excess fat and skin in the upper eyelid, a partial incision is done when there is only excess fat in the eyelid, while there is no incision used when there is no excess fat and skin. The surgery is not considered painful and it can take up to 4 weeks to fully recover.[18]

Asian facial skeletal contouring surgeries, also known as V-Line surgeries, are often done to reduce the dimension or angularity of the cheekbones or the jaw in order to create a V shape.[19] They are commonly found among young Korean pop stars and can give the face an elf- or childlike appeal.[9] K-pop groups like created a trend for the V-shaped face among young girls, as it is seen as an attractive feature.

A surgery can involve several related procedures: zygomatic reduction, V-Line surgery, mandibular contouring, and sagittal osteotomy of mandible. Zygomatic reduction involves fracturing the zygomatic arch, reshaping and re-orienting the bone so that it protrudes less to the side. During a V-Line surgery, incisions are made through the mouth. The chin is then fractured and reduced, and the jaw bone is shaved. Mandibular contouring is similar but does not involve the chin. Sagittal osteotomy reduces the width of the jaw bone.[20]

The pain following surgery ranges from mild to extreme. The jaws may be wired together for weeks, and it can take six months for the swelling to completely disappear, although it is most significant during the first 72 hours.[9][20] A maxillofacial surgeon and former professor at Columbia University said the V-Line surgery is complex and carries risks of permanent numbness and death.[9][21]

Jessi is a Korean artist that has been very open about the cosmetic surgery she has received.

Examples of Korean celebrities that have undergone a "nose job" include Kim Hee-chul, Jessi, and Soyou.[22]

The surgery can be performed open and closed. The open procedure is the most popular as it gives the surgeon more visual context. It requires an incision in the columella, which often heals without any issues and leaves a minor scar that should be difficult to spot. Once the procedure is done, it takes a few weeks to heal completely.[23] In a closed surgery, all the incisions are made inside of the nose.[24]

In South Korea, rhinoplasty is the second least common surgery among ethnic Koreans.[25] The procedure is sometimes be performed in a health context as well, as restructuring the nose can also make it easier to breathe. [22]

Face-whitening injections have also started becoming more popular as a pale skin fits within the Korean beauty standards.[26] The active ingredients in these injections is glutathione, the procedure last 20 minutes. Some negative effects from the procedure are as following: low blood pressure, rash all over the body, and problems with the digestive system such as nausea or vomiting.[27]

Medical tourism is the act of attracting foreigners to undergo surgeries. With the rise of popularity of K-drama and K-pop around the world, numerous people opted South Korea to undergo cosmetic surgeries. "South Korea's plastic surgery business is gaining popularity because of the country's quick, affordable, efficient, safe, and high-quality healthcare system."[28] In 2019, a total of 211,218 tourists visited South Korea for plastic surgery.[29]

A ghost surgery is a surgery in which the person who performs the operation, the "ghost doctor," is not the surgeon that was hired for and is credited with the operation. The ghost doctor substitutes the hired surgeon while the patient is unconscious from anesthesia.[30][31]

Ghost surgeries are "rampant" in the South Korean cosmetic surgery industry.[30][31][32] 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; one former ghost doctor reported that most substitutes were dentists.[30] The Korean Society of Plastic Surgeons estimated that there were about 100,000 victims of ghost surgery in South Korea between 2008 and 2014. About five patients died during ghost surgeries between 2014 and 2022.[31]

Ghost surgery is illegal in South Korea, but as there is often no evidence a surgery was performed by a ghost doctor, it is rarely punished in court.[31] Public backlash to ghost surgery has led to the mandating of security cameras in operating rooms in South Korea.[33][34]

Korea is often criticised for having unrealistic beauty standards, often expecting women to be very thin to the point where their weight can become unhealthy. The "escape the corset" movement goes directly against the country's beauty standards and active promotion of beauty products and surgery.[35] The movement is intended to create body positivity and reduce the strict standards that women have to live up to in the country.

A study made by Charlotte N. Markeya and Patrick M. Markeya show there is a correlation between reality television viewing and interest in cosmetic surgery.[36]

Another study made by Young A. Kim, Duckhee Chae and Hyunlye Kim about "Factors Affecting Acceptance of Cosmetic Surgery Among Undergraduate Students" affirms that the rise of the beauty standards conveyed by television, internet, actors and stars of K-pop affect people's mental health by decreasing their self-esteem and increasing their anxiety. The socio-cultural message transmitted by peers reflects the high beauty standards are became the norms.[37]

A study at Miami University shows that the pressure to get the "perfect" appearance can stem from feelings of inferiority if someone sees themselves as less attractive.[3]

Let Me In was a controversial South Korean television show that is focused on doing complete make-overs, including plastic surgery.[38] Participants have to convince a panel that their appearance makes their life difficult, it even goes as far as making their parents apologise for appearance and lack of plastic surgery. Participants are presented to the audience after their make-over. The show was shut down in 2015 in a response to the amount of controversy and criticism, as the show was blamed for making plastic surgery more attractive to its viewers.[39]

Employment surgery is a common occurrence in South Korea. Due to a lot of competition in the job market, appearance is considered an important factor when hiring, which pressures people into undergoing surgery to get an edge over their competitors.[40] People often come across appearance discrimination when trying to find a job in South Korea, further normalising plastic surgery to get the job you want.[41] People who are considered more appealing have statistically more chances to "have" the job than people who do not fit the beauty standards. This is well known by Koreans and can affect also the mental health of person who are looking for a job with the required qualification but not does not satisfy the beauty qualification.[42] According to a 2006 survey, 92.2% of women in South Korea expect to be discriminated based on appearance during a job interview.[43]

In 2021, a bill was proposed that take action against this culture, banning companies from asking for photos at a résumé. A survey in 2006 showed that 80% of public companies require personal information like photos.[43]