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In Search of Symmetry
APAs Under
the Knife —
Part Two
AsianWeek.com
January 2003
www.asianweek.com/2003_01_17/feature.html
Culturally Defined Beauty
Cultural anthropology professor Yoshiko Miko Yamamoto opens a museum
journal with photographs of centuries-old Asian masks and lays it next
to the pages of a contemporary fashion magazine. Pointing to the
features of the masks, she remarks that many of the “beautiful” visages
are not symmetrical, while the contemporary fashion magazines contain
page after page of young, childish waifs with round eyes and contrived,
forced smiles.
“Cute is popular,” Yamamoto said. “The average person is not
symmetrical but it’s a natural phenomena not to accept it,” she said,
brushing away her salt-and-peppered hair.
Pushing back her glasses and intently studying the photographs,
Yamamoto argues that beauty is not strictly defined by anatomical
standards but is influenced by culture.
“The contrasting images of old and new ideas of beauty reflect the
dynamic nature of human perception of society’s ideal,” she said. Yet,
she does point out that “growing need for physical perfection” will
continue to make cosmetic surgery a growing industry.
The time period, class, status and environment are the cultural
variables that help mold “modern versions of beauty,” Yamamoto said. In
Japan, The Tale of Genji — a novel written about courtly life in the
11th century — influenced beauty ideals and aristocratic appearance,
creating an emphasis on pale faces, a robust body and flamboyant dress.
“The more roundish body showed affluence,” she said. “It was a symbol
or sign of wealth. Today, everyone is getting slimmer and prefers dark
skin. Many years ago, farmers use to cover their faces to prevent a
dark complexion.”
Yamamoto states that with the economic affluence in modernized
countries, people opt to change their lifestyles and image. “Ideals are
not necessarily global,” Yamamoto remarked. “Versions of beauty vary
from culture to culture. Media influences and the idolization of
popular star icons have made a drastic change in contemporary Japan’s
version of beauty.”
She theorizes that young people are a “lost generation who seek
identity” with a peer group. Standards of beauty are getting more
uniform through media, which appeals to young generations.
“Plastic surgery won’t change genetics. But the growing impact of
technology and cultural contact with other countries will allow plastic
surgery to survive because styles and types will change and human
nature will persuade people to go under the knife,” she said.
Still slightly optimistic, Yamamoto sighs, “Pretty won’t get you far
though. Creativity and uniqueness is rewarded. Facial modification is
not permanent because the face changes and constantly needs to be
modified as one ages. It’s also time-consuming and expensive.”
Asian Pacific
American Beauty
Dr. Won Hyok Bae contends that culture has redefined techniques
— especially concerning blepharoplasty. Ten to 20 years ago, many
eyelid surgeries were performed to make the eyes look Caucasian. Bae
points out that the anatomical structure of the Asian lid prevents this
procedure from resulting in an aesthetically pleasing result.
“The current trend is more natural and Asian-looking eyelid and natural
fold,” Bae said.
Bae, whose client base is 90 percent Korean, claims that Korean
television and movie stars have a different appearance and that many of
the trends in plastic surgery reflect this. Sam Mi Ja, a movie star 10
years ago had a tall, high eyelid fold with a deep-set orbital area
which resulted from too much fat removal. Recent Korean icons like Shim
Eun Ha have small creases and many of her fans request a similar look.
Bae also points out that Asians tend to have a mesocephalic shaped head
— one that is shorter and rounder. He contends that Caucasian heads
tend to have a dolichocephalic head — one that is slender and longer.
“Applying the same proportions to the different skeletal frame would be
making a huge, horrendous mistake,” Bae said.
Maas agrees that surgical procedures on APAs have changed. “Older
western versions of the high lid fold are not as popular,” he explains.
“ Surgeons are increasingly becoming more culturally and ethnically
sensitive.”
Constant Remodeling
Rita*, a solidly built Laotian woman, walks through the door with a
self-assured presence. Her gait is firm and one can’t help but notice
her smart clothes, gold accessories, coifed hair and quiet elegance.
“Hello,” she says, as she seats herself on the sofa. “Are you the one I
was suppose to speak to?”
Her lips are swollen and she speaks carefully and deliberately.
“Are you here to see the doctor?” I ask.
She explains that she has recently had surgery on her lips. A small,
soft piece of synthetic foam was inserted into her lips to give them a
fuller effect. She says she feels prettier after having her operation
18 days ago. Though her lips feel tight and are not quite healed yet,
her confidence in her surgeon is still strong.
“He’s very good,” she says.
Upon talking to her, I discover that cosmetic surgery has been a part
of her life for the past 10 years. At age 42, she admits to having had
blepharoplasty, rhinoplasty, breast enlargement, liposuction, scar
removal and lip surgery. In five years, she plans to have a facelift.
None of her surgery has been covered by insurance and she explains that
it has been a costly habit.
“I attract more attention and people say nice things to me,” Rita
explains. “I like to dress up and people say I look sexy. I don’t care
what people think of me. I feel confident.”
With Rita, plastic surgery operations have been another way of life.
Her comfortable income as a business executive has allowed her to
continue her operations. Looking at her face, it is hard to imagine
what she looked like before the operation. There are no traces of
scars; however, her face seems stiff, tight and poreless. She explains
that her standards of beauty are not affected by mathematical
standards, cultural influences or idol worshipping. She contends that
all of the operations were done out of a personal vision of beauty.
Constantly changing her face has been a way to “bring out her
confidence” but some doctors say that patients like Rita, with numerous
surgeries under their belts, may border on obsessive-compulsive
behavior.
“People who overuse cosmetic surgery have a body image disorder,” Maas
said. “It’s like anorexia nervosa and bulimia. Treatment can be
dangerous to these patients. It’s all about managing expectations and
educating people of clear and realistic outcomes. We concentrate on
people who want to look good on the outside as they feel on the
inside.”
Rita’s name is called by the receptionist and she excuses herself and
walks to the front desk.
Shortly afterwards, Vicki returns to the reception area and sits down.
She watches Rita walk into the surgeons office, the door closes tightly
behind her. The receptionist delivers one last compliment, “That Rita
is gorgeous,” she says. “Just gorgeous.”
*Names have been changed.
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