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Many people of Asian descent, (especially those coming from East and Southeast Asian countries), have what is known as an epicanthal fold over their eyes. This is simply a piece of skin that covers the top portion of the eye, giving it an 'almond-shaped' appearance. The feature can occur with a person of any race, but because it is more prevalent among large numbers of East and Southeast Asian individuals, it has been classified as 'universal' trait among these groups. For many East and Southeast Asians this is not a problem, but there are some that do not like having these folds and subsequently seek to get rid of or alter them through cosmetic surgery.
The cosmetic surgery involved with the epicanthal fold can either remove the skin completely, (which is known as a epicathoplasty), or reshape the fold, (known as double eyelid surgery). Of these forms of cosmetic surgery, the double eyelid surgery is more common, as epicathoplasties are very difficult to do. In fact, epicathoplasties are so complex they are rarely performed both in Asia and in the United States. However, this does not
mean that double eyelid cosmetic surgery is not without its own risks and complications. Some of the risks associated with this form of cosmetic surgery include: multiple creases giving the eyes an unnatural appearance, droopy eyelids, swelling, scarring, temporary or permanent difficulty in closing the eyes and even loss of vision. These risks can be reduced if a person makes sure they get a plastic surgeon with the appropriate credentials, though the keyword to remember is 'reduced'. One can not completely eliminate the risks associated with any form of cosmetic surgery, no matter how minor.
With that being said, is it ethically correct for a person of East or Southeast Asian descent to get double eyelid cosmetic surgery? It depends on how one wants to look at it. Double eyelid cosmetic surgery is really no different than any other type of cosmetic surgery. And if there wasn't the racial element associated with it, people wouldn't view it any differently than nose jobs, breast implants and other cosmetic procedures well-known to the public. Yet, in reality race cannot be forgotten when it comes to double eyelid cosmetic surgery. Many women and men who get these operations think they will look more 'Western', which usually equals Caucasian. They think the eyes they were born with are ugly and unappealing. However, when the cosmetic surgery is actually done, some are disappointed, because their East or Southeast Asian features are not eliminated. Even with the extra eyelid crease, their eyes still retain their original shape. And at a cost of over $2,000, a price that is more than a month's rent for many people, one has to ask themselves is an extra eyelid crease really worth it?
In a perfect world, cosmetic surgery should not be used to try to make everyone look Caucasian. Persons of East or Southeast Asian descent need to, for themselves, find beauty in all of the eye shapes evident throughout their race. In fact, non-Asian groups need to realize this too, especially those that control the entertainment industry. As more East or Southeast Asians are seen as being beautiful just the way they are, the less demand there will be for double eyelid cosmetic surgery.
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