Cosmetic surgery refers to the process, methods, and theories focusing on the enhancement of a person's physical appearance. [1] [2] In China, there are over 10 million people who have undergone cosmetic surgery, 8.5 million of them are under 30 years old. [3] The intensifying fixation with physical beauty has escalated the demand for cosmetic surgery in recent years. The influence of Korean pop stars and other celebrities, and social media have significantly prompted young people to undergo these surgeries. [4]
The roots of modern cosmetic surgery in China goes back to a plastic surgeon called Song Ruyao. As a medical student during the Second Sino-Japanese war, he was sent to the University of Pennsylvania in 1943 to study reconstructive plastic surgery. He is considered the founder of the field in China, which would later include cosmetic surgery. [5]
Very few cosmetic surgeries took place before the Chinese Communist Revolution. During the Cultural Revolution, cosmetic surgeries were condemned as "bourgeois" for its focus on exterior form over practicality or function. [5] In the 1980s, as cosmetic surgeries started becoming more acceptable, they also saw a rapid increase. [5]
In 1994, cosmetic surgery was introduced in Beijing and since then, the market has significantly evolved. In 2004, a beauty pageant where only contestants who had gone under the knife could enter crowned China's first "Miss Plastic Surgery". [6] [7] In 2010, Beijing's China-Japan Friendship Hospital catered to a total of 20,000 to 30,000 people in its plastic surgery department, and the numbers consistently rose over the years. [8]
Students make up the bulk of cosmetic surgery patients under 30 and estimates show that there are 20 million people in China who have had cosmetic surgery.[ citation needed ] In 2014 alone, over 7 million people, mostly young women, had cosmetic surgery, when the country's cosmetic surgery industry was valued at RMB400 billion. [9] For every 100 buyers of medical beauty products, 64% per were from the post ’90s, followed by 19% of millennials. Reports also indicate an estimate of 100,000 cosmetic surgeons, of which only 10% were licensed. This signifies that 90% of facial surgery operations are carried out outside official medical systems. [10]
China’s cosmetic surgery industry soared from RMB 87 billion in 2015 to RMB 176 billion in 2017 [11] and currently continues to rise. It is the world’s 3rd largest cosmetic surgery market in 2018 [12] and recent studies conducted by HSBC foresee an increase in its market size by 2019. Forecasts also reveal a boost in total spending of up to 800 million RMB ($122 million US) with the potential to reach 20.6 billion U.S. dollars by 2020. [13]
The rise of the middle class in Chinese society is one reality behind China's escalating cosmetic surgery industry. The increase in the purchasing power of over 350 million Chinese raised the level of people's standards of living allowing them to aspire for other luxuries and life standards. [14] Based on statistics culled from the Chinese Association of Plastics and Aesthetics in November 2015, the country's plastic surgery sector has grown rapidly with an annual growth rate of 30%. Likewise, it has changed the definition of plastic surgery. The practice is no longer confined to improving the looks of people with disfigured faces resulting from accidents and injuries; it now like getting the "icing on the cake" for inherently good looking people. [15]
Another driver is pressure on social media. Beauty applications play an influential role in these “media demands” as many of these platforms put forward opportunities to alter or “improve” one's face. These application propose their own standard of beauty to users which all the more ignites the pressure that these people feel when they start comparing their ‘before and after’ photos. [16]
The influence of Korean culture is another dynamic prompting the high number of Chinese citizens to avail of cosmetic surgery. This is due to the increasing popularity of the Korean Wave through Korean dramas and television shows which have become a hit in China. Since cosmetic surgery is common in Korea, entertainment personalities—with theirunbridled eyes[ clarification needed ], V-shaped jaw, and prominent cheekbones—have greatly influenced the Chinese people. These same Korean influences are found on the skin care market, where a perfect and white skin is a must for any woman wishing to convey a beautiful image of oneself. [17] [18]
Plastic surgery is a surgical specialty involving the restoration, reconstruction, or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery covers a wide range of specialties, including craniofacial surgery, hand surgery, microsurgery, and the treatment of burns. This category of surgery focuses on restoring a body part or improving its function. In contrast, cosmetic surgery focuses solely on improving the physical appearance of the body. A comprehensive definition of plastic surgery has never been established, because it has no distinct anatomical object and thus overlaps with practically all other surgical specialties. An essential feature of plastic surgery is that it involves the treatment of conditions that require or may require tissue relocation skills.
Medical tourism is the practice of traveling abroad to obtain medical treatment. In the past, this usually referred to those who traveled from less-developed countries to major medical centers in highly developed countries for treatment unavailable at home. However, in recent years it may equally refer to those from developed countries who travel to developing countries for lower-priced medical treatments. With differences between the medical agencies, such as the Food and Drug Administration (FDA) or the European Medicines Agency (EMA), etc., which decide whether a drug is approved in their country or region, or not, the motivation may be also for medical services unavailable or non-licensed in the home country.
East Asian blepharoplasty, more commonly known as double eyelid surgery, is a cosmetic procedure that reshapes the skin around the eye to create a crease in an upper eyelid that naturally lacks one. Although 70-83% of East Asian women naturally have upper eyelid creases, it is estimated that 17-30% of Chinese and Japanese women lack this feature. This surgery may be performed on individuals of East Asian descent, including those from Chinese, Japanese, and Korean backgrounds. The primary goal is to enhance the eyelid's appearance, making the eyes appear larger and, according to some cultural aesthetics, more attractive due to a 'wide eyed' and expressive appearance.
A day spa is a business that provides a variety of services for the purpose of improving health, beauty, and relaxation through personal care treatments such as massages and facials. The number of day spas in the US almost doubled in the two years from 2002 to 2004, to 8,734, according to the International Spa Association, and by 2020 there were 21,560 spas across the United States, according to Statista.
The history of cosmetics spans at least 7,000 years and is present in almost every society on earth. Cosmetic body art is argued to have been the earliest form of a ritual in human culture. The evidence for this comes in the form of utilised red mineral pigments including crayons associated with the emergence of Homo sapiens in Africa. Cosmetics are mentioned in the Old Testament—2 Kings 9:30 where Jezebel painted her eyelids—approximately 840 BC—and the book of Esther describes various beauty treatments as well.
Female Chinese beauty standards have become a well-known feature of Chinese culture. A 2018 survey conducted by the Great British Academy of Aesthetic Medicine concluded that Chinese beauty culture prioritizes an oval face shape, pointed, narrow chin, plump lips, well defined Cupid's bows, and obtuse jaw angle. The importance of feminine beauty in China has been deeply ingrained into the culture: historically, a woman's livelihood was often determined by her ability to find an eligible husband, a feat aided by fitting into the cultural ideals of beauty.
Aesthetic medicine is a branch of modern medicine that focuses on altering natural or acquired unwanted appearance through the treatment of conditions including scars, skin laxity, wrinkles, moles, liver spots, excess fat, cellulite, unwanted hair, skin discoloration, spider veins and or any unwanted externally visible appearance. Traditionally, it includes dermatology, oral and maxillofacial surgery, reconstructive surgery and plastic surgery, surgical procedures, non-surgical procedures, and a combination of both. Aesthetic medicine procedures are usually elective. There is a long history of aesthetic medicine procedures, dating back to many notable cases in the 19th century, though techniques have developed much since then.
Pechoin is a skin care brand under Shanghai Pehchaolin Daily Chemical Co Ltd based in Shanghai, China. Originally founded in 1931, Pechoin is China's first domestic skincare brand. The company manufactures cosmetic products including skincare products and perfumes. It is one of the largest skincare companies in China and a leading Chinese cosmetics brand. In 2013, Pechoin products were recognized as "national gifts (国礼)" of the People's Republic of China.
The feminine beauty ideal is a specific set of beauty standards regarding traits that are ingrained in women throughout their lives and from a young age to increase their perceived physical attractiveness. It is experienced by many women in the world, though the traits change over time and vary in country and culture.
Since the late-2000s, the People's Republic of China (PRC) has sought to internationalize its official currency, the Renminbi (RMB). RMB internationalization accelerated in 2009 when China established the dim sum bond market and expanded Cross-Border Trade RMB Settlement Pilot Project, which helps establish pools of offshore RMB liquidity. The RMB was the 8th-most-traded currency in the world in 2013 and the 7th-most-traded in early 2014.
Innisfree (Korean: 이니스프리) is a South Korean cosmetics brand owned and founded by Amore Pacific in 2000. The brand name derives from Irish poet W. B. Yeats' poem, 'The Lake Isle of Innisfree'. Innisfree has stores in South Korea, Hong Kong, Macau, Mainland China, Japan, Taiwan, Singapore, Malaysia, Thailand, Vietnam, Indonesia, the Philippines, India, the United States, Canada, Australia, and the United Arab Emirates.
The cosmetic industry describes the industry that manufactures and distributes cosmetic products. These include colour cosmetics, like foundation and mascara, skincare such as moisturisers and cleansers, haircare such as shampoos, conditioners and hair colours, and toiletries such as bubble bath and soap. The manufacturing industry is dominated by a small number of multinational corporations that originated in the early 20th century, but the distribution and sale of cosmetics is spread among a wide range of different businesses. Cosmetics must be safe when customers use them in accordance with the label's instructions or in the conventional or expected manner. One measure a producer may take to guarantee the safety of a cosmetic product is product testing. FDA occasionally does testing as part of its research program or when looking into potential safety issues with a product. Both the cosmetics business and consumers can benefit from the FDA's resources on product testing.
Korean beauty standards have become a well-known feature of Korean culture. In 2015, a global survey by the International Society of Aesthetic Plastic Surgeons placed South Korea in the top ten of countries who had the highest rate of cosmetic surgeries.
K-beauty is an umbrella term for skincare products that are derived from South Korea. The fad gained popularity worldwide, especially in East Asia, Southeast Asia, South Asia, and the Western world, and focuses on health, hydration, and an emphasis on brightening effects.
Sexualization and sexual exploitation in K-pop refers to elements of sexualization and sexual exploitation in K-pop, which was once seen as a conservative music industry. This is in part due to 21st century globalization, with Korean entertainment and record label companies intending to market their idols abroad.
Male grooming refers to men paying attention to fashion and enhancing their own appearance. This interest has become increasingly apparent in popular culture.
South Korea has been considered a medical tourism destination since 2009, attracting more than 2.76 million foreign patients between then and 2019. The increasing number of patients seeking medical treatment in South Korea do so for multiple reasons, such as low medical costs, high quality medical services, short waiting times, and tourism packages combining relaxation and tourism.
Instagram face is a beauty standard based on the filters and influencers popular on Instagram. An "Instagram face" has catlike eyes, long lashes, a small nose, high cheekbones, full lips, and a blank expression. Digital filters manipulate photographs and video to create an idealized image that, according to critics, has resulted in an unrealistic and homogeneous beauty standard. According to Jia Tolentino, the face is "distinctly white but ambiguously ethnic". The face has been described as a racial composite of different peoples.
Cosmetic surgery is voluntary or elective surgery for beauty enhancement. The motivation for plastic surgery has been debated throughout Korean society. Holliday and Elfving-Hwang suggest that the pressure of success in work and marriage is deeply rooted in one's ability to manage their body which is influenced by beauty. As companies helping with matchmaking for marriage and even job applications require a photo of the individual, Korean population inevitably feels pressure to undergo plastic surgery to achieve the "natural beauty".
C-beauty, or Chinese beauty is an umbrella term encompassing contemporary beauty products, practises, and ideals originating from China. China has the second largest beauty market in the world, after the United States. Common C-beauty products include cosmetics, skin care, hair care, perfumes, and nail art. C-beauty often incorporates influences from traditional Chinese medicine and Chinese art.