English: Photo of Mini Facelift Cosmetic Surgery Procedure being Performed by Facial Plastic Surgeon. (Photo credit: Wikipedia)

by Kiho Kozaki

Plastic surgery is a widespread phenomenon today, and is more popular and accepted than ever. Aman Garg once said that plastic surgery is a medical specialty concerned with the correction or restoration of form and function. Now some studies and surgeons insist that plastic surgery is the “correction” of facial features. The American Society of Aesthetic Plastic Surgery (ASAPS) conducted a survey which is the 17-year national data for procedures performed from 1997-2013, and during that period, there was a 279% increase in total number of plastic surgery both surgical and nonsurgical procedures. Though the statistic covers only procedures done in the United States, I assume that same result would be seen in elsewhere in the world.

The survey also shows that the plastic surgery’s popularity among racial and ethnic minorities, who had approximately 22% of all cosmetic procedures: African-Americans 7%, Asians 5%, Hispanics 8%, and other non-Caucasians 1%. The percentages vary depending on the studies, however, as a common observation, racial and ethnic minorities seem to seek out plastic surgery more than Caucasians.

Nadra Kareem Nittle, a race relations expert, said that is because minority groups still feel pressure to live up to Eurocentric beauty norms. They alter traits such as prominent noses or hooded eyelids. Moreover, weaves, wigs and skin whitening creams continue to enjoy mass appeal in communities of color. Then, this phenomenon of plastic procedures raises a question: do they undergo these procedures in order to look like Caucasians? Or just to gain self-esteem and to look good?

Since the standard of beauty seem to be a Westernized ideal, some people are dissatisfied with their ethnic features and believe they are ugly. Angie Rankman wrote that the appearance of mostly unattainable model normalizes certain body images, and then people perceived problems with their own features. The result is that many people are left with deep seated psychological insecurities about themselves and their body image, often resulting in unreasonable expectations in regard to cosmetic surgery.

As Alexander Edmonds, a lecturer of Anthropology at Macquarie University in Sydney, notes, mass media uses this ‘market value of appearance’. I argue that is not necessary to conclude that they want to look like Caucasians. Of course there is a big influence by mass media remaining people dissatisfied with their features and the desire for Caucasians may exist but that does always not mean they want to cross racial and ethnic lines. Some people may wish to, but I assume that majority of people still want to remain as who they are.

Dr. Samuel Lam, a plastic surgeon cited in Bagala’s article, called it ‘ethnic softening’. It means the softening of facial features that patients deemed overly ethnic but still preserving their ethnicities. Most of the patients are becoming more willing to work with their ethnic features rather than work against them.

Edmonds says there is a slippage between the national cultural notion of a ‘preference’ and a racial-biological notion of a ‘type.’ So, according to Edmonds, operations like breast surgeries can be linked to national but not racial identities.

Plastic procedures are much complicated that we cannot simply conclude why it gets more popular than ever among racial/ethnic minorities. Now, we are in the era of expansion of beauty culture. Though patients who underwent plastic procedures may insist that was their personal choice, and that they wanted to look better to boost their self-esteem, it is not simple as they insist. We should note that their assumptions and beliefs may be constructed from deep-rooted national cultural norms, racial-biological norms and certain expectations of appearance. Right now we are in the middle of seeking a new way of accepting and dealing with the widespread beauty norms.

References

American Society of Aesthetic Plastic Surgery. (2013). 2013 ASAPS Statistics: Complete charts [Including National Totals, Percent of Change, Gender Distribution, Age Distribution, National Average Fees, Economic, Regional and Ethnic Information] http://www.surgery.org/sites/default/files/Stats2013_4.pdf

Bagala, J. (2010). Saving Face: More Asian Americans opting for plastic surgery. Hyphen Asian America Unabridged, 22. http://www.hyphenmagazine.com/magazine/issue-22-throwback/saving-face-m ore-asian-americans-opting-plastic-surgery

Edmonds, A. (2007). The poor have the right to be beautiful: cosmetic surgery in neoliberal Brazil. Journal of the Royal Anthropological Institute 13:363-381.

Garg, A. (n. d.). Plastic Surgery. Cite lighter. http://www.citelighter.com/science/medicine/knowledgecards/plastic-surgery.

Nittle, K, N. (n. d.). Race, Plastic Surgery and Cosmetic Procedures. About News.  http://racerelations.about.com/od/diversitymatters/tp/Race-Plastic-Surgery-An d-Cosmetic-Procedures.htm

Rankman, A. (2005). Obsessed With Beauty: The Rush To Cosmetic Surgery. Aphrodite Women’s health. http://www.aphroditewomenshealth.com/news/cosmetic_surgery.shtml