Brains & Beauty: With Korean women achieving higher education, why do so many rely on the scalpel?

Hanbok Fashion Show(Source: Republic of Korea; CC BY-SA 2.0)

“I believe in equality and love the Free the Nipple movement. After four years in Korea, I am still intrigued by its thirst for modernity mixed with its fear of losing its cultural past, sometimes to the point of schizophrenia.”

And with that self-introduction, how could I not accept Manouchka Elefant’s proposed guest post?

As well as being a long-time reader, she’s also a Swiss recipient of the NIIED scholarship, and has just completed her Master’s in finance at Yonsei University (see here for her LinkedIn bio). She adds:

“Anyways, a few friends read my paper [for my Modern Korean Society & Culture class] and found it very interesting and suggested I publish it. Since your blog is my reference on the subject I thought I’d send it to you.”

Flattery will get readers everywhere. So, without any further ado, let me present her post:

Introduction

Women in Korea have come a long way since the beginning of the century. They have more freedom, greater access to education, and higher spending power thanks to their increasing participation in the workforce. This emancipation of women has been accompanied by a seemingly paradoxical phenomenon: the explosion of the beauty industry and in particular the normalization of plastic surgery procedures. Per capita, South Korea is the number one country for non-invasive and invasive plastic surgery performed and counts the highest number of plastic surgeons (Raitt 2014). The peninsula’s history and Confucian heritage has a tremendous impact on women’s growth in society as well as on contemporary beauty ideals. Today cosmetic surgery can be seen as the two sides of a same coin, it is both an appropriation of one’s body and conformation to society’s expectations of women in Korea.

Historical heritage

Analyzing womanhood in Korea requires us to understand the country’s Confucian heritage and its revolutions. Typically, the contemporary obsession for beauty in Korea is seen as “conformity to patriarchal version of femininity in order to maximize women’s chances of success in marriage and the economy” (Ruth Holliday 2012). However, in a relatively short period, the Confucian ideal has gone through a lot of transformations, notably in the 1930’s and after the Japanese occupation.

Confucian Ideal

Confucian scholars would be quite surprised to see that Korean people no longer appreciate women with beautiful moon faces. In their time, “virtuous femininity” meant that upper class women conformed to an exacting Confucian decorum (Ruth Holliday 2012). Whether a wife, mother, or daughter, a woman’s self was fully dependent on that of men. They were restricted to the domestic sphere, and their success was in their “ability to mimic a concealed and deferential ideal, defined by virginity or maternity” (Ruth Holliday 2012).  Chastity and modesty were highly valued and expected of women from a young age (Lee 2014). To some extent, Korean women are still expected to portray an image of innocence and modesty no matter their age.

Also inherited from the Choson dynasty is the concept of embodying one’s social class through one’s appearance, with the “practice of displaying social status through class-appropriate clothing and decorum, and the ways in which they are interpolated in neoliberal discourses of self-improvement and class mobility are evident in the ways in which cosmopolitan subjectivity is embodied through cosmetic surgery as a sign of a desired class, social or gendered identity” (Elfving-Hwang 2013), leading to one of the theories behind cosmetic surgery as a way to achieve social class identity, which seems to be only part of the phenomenon.

Modern Girl

The 1920-1930’s with its fun flapper girls in the West, dancing to jazz and smoking were in stark contrasts to the Confucian doctrine, yet this new “modern girl” had a strong impact on Korean women and their an seok-ju modern womanaspiration to emancipate themselves from constraining paternalism (appendix 1, source: Gusts of Popular Feeling; rather than in the original separate appendix, I’ve posted images and tables as they came up—James). The modern girl’s short hair was in direct clash with Confucian values and was seen by many as a sexual revolution (Chung 2012). However, the modern girl was associated to decadence, bourgeoisie, and conspicuous consumption.  “A woman drawing attention to her own sexuality – body and desire- was frowned upon in traditional Korea” and the modern girl came to symbolize more than women’s freedom, but also the “fracturing of class [poor versus bourgeois] and citizenship [Korean versus Japanese]” (Chung 2012).

Furthermore, the modern girl was not a mere imitation of Japanese or American influences, it went deeper than hair and clothes, “it mirrored the changing social consciousness, the collective identity of traditional womanhood as an aspect of modernity and modern conditions in colonial Korea” (Chung 2012).

Additionally, the modern girl “challenged the traditional gender roles and centuries of Confucian morality by accumulating products that enhanced female beauty and sexuality” (Chung 2012), which also meant that one was able to alter their appearance and other’s perception of them through consumption. We can wonder if it was a precursor to contemporary Korea’s constant availability of cosmetics and clothing shops.

However, in the context of occupied Korea, the modern girl was highly criticized for being influenced by the Japanese media and to some extent for supporting the colonial agenda. It was seen as another way in which Japan attempted to impose itself as a modernizer over Korea and that “the modern girl phenomenon evolved in the framework of this cultural and economic subordination of the era, which led to its conflicting popular reception” (Chung 2012). Paradoxically, people were attracted to this new image of femininity, spurring their “voyeuristic participation in mass culture, titillating the public while inviting condemnation at the same time” (Chung 2012). It can be similarly observed with today’s pop-culture idols, with the public simultaneously attracted by these sophisticated girl bands while criticizing their over-sexualized image.

Wise Mother Good Wife

At the other end of the spectrum is the ideal of wise mother good wife and although it also served to empower women, its motivations were quite distinct from the modern girl. This concept was at the complicated “intersections of patriarchy, colonialism, nationalism, and western modernity” under which women followed, fought back, or appropriated the predominant male dominated world (Choi 2009).

The wise mother good wife ideology was used by different groups, each with its agenda. Korean nationalists reinforced the role of mothers as educators of Korean children and as supporters for their husbands. Japan’s gender program used it both at home and in colonial Korea “with the aim of producing obedient imperial subjects and an efficient, submissive workforce” (Choi 2009), while protestant missionaries saw it as a way to spread their faith with a “pious mother and wife as a moral guide in the Christian family” (Choi 2009). All of this contributed to the education of women in Korea.

This ideology was deeply rooted in a patrilineal social structure, promoting chastity, marriage and motherhood. It was in direct clash with the modern girl, which was highly criticized for her vanity, her consumption, and her relatively open sexuality. Nevertheless, wise mother good wife also served as a platform to empower women, even if within a restricted domain. The women who “benefited from this education centered in domesticity paved the way to new domains for career women” (Choi 2009). Women were however, not educated for their own benefit and advancement as individual beings, but rather for what they brought to men and society, therefore not for their emancipation. Nonetheless, it set the path towards higher education and more freedom for Korean women.

Women’s Growth in Korean Society

Women’s Education

As we saw, there were several different movements promoting women’s education in Korea, from the protestant missionaries to the Japanese regime. However, some Confucian scholars, influenced by the West, also associated the advancement of women as a sign of a modernized society. They thought that “woman is the foundation of human society and the girder of the house and thus if she is weak or ignorant, she would not be able to fulfill her central role” (Choi 2009).

With Korea’s independence and its efforts towards development, education became widely available to both genders. Educating women therefore was modernizing Korean society, as well as increasing the Higher Education trend for men and women in Koreaworkforces’ overall education level to achieve economic development. In 1966, only 33% of girls went from elementary school to middle school. Similarly, 20% continued to high school and 4% to university. However, by 1998, 61.6% went from middle school to high school and 61.6% to university (Korean Overseas Information Service n.d.). By 2006, the number of women reaching higher education was as high as that of men, with 81.1% and 82.9% respectively entering college and university (table 1)  (Ou-Byung Chae 2008).

This remarkable progress in the number of women achieving higher education also came with its own challenges. Although women achieve higher education there is still a strong gender bias both in the educational curriculum, in the family sphere, and in the workplace.

Women’s Employment

Today, Korea is known for its high educational standards but also for the high inequalities between men and women in the workplace. Last years’ World Economic Forum ranked Korea 111th out of 136 nations in its Global Gender Gap report. While in 2012, the Organization for Economic Cooperation and Development’s (OECD) pay gap report placed Korea in the top of the list with a 39% differences between men and women’s pay (McKay 2014).

Although women have made a lot of progress in Korea’s work environment, according to Statistics Korea’s latest figures, they still only participate for about 50% in the workforce, whereas men reach over 73% participation. Furthermore, the market research firm CEOScore found that in 2013 about 1 out of 1,430 employed women reached a corporate management job against 1 out of every 90 men (McKay 2014). On top of it, Korea also shows the poorest level of female graduate employment among the OECD countries (McKay 2014).

Granting the Korean government has made it part of its objectives to change the situation, a number of factors create this tense work environment for women. It is commonly perceived that women in Korea suffer from higher job discrimination, starting from the hiring process all the way to corporate advancement. The Korean work culture and social expectations of gender roles both have an important effect. High unemployment further reduces women’s chances of finding good jobs, with the economy feeling global pressures and a staggering number of overqualified job hunters, women are often passed over for men in an environment where youth unemployment has been around 8% since 2010 (Park 2014). Both women and men, see being good looking as the next level to compete in the job market and “employment cosmetic surgery” is growing in popularity with both genders (Korean Overseas Information Service n.d.).

Furthermore, preconception of women’s gender roles as mothers and wives results in discrimination in the workplace. The government’s policies to increase women’s participation in the workforce are not “working well because companies still view men and women’s societal duties as different” (McKay 2014). Additionally, the prevalent perception that women are supposed to quit working after getting married to focus on raising children means that “women are being forced to choose between having a career or having a family” (McKay 2014). Very few women go back to work after having had children in Korea, not necessarily by choice. During recruiting, a lot of companies prefer male recruits over young women, apprehensive at the prospect of them getting pregnant (maternity leave cost). As a result, a lot of women choose to delay having a family (Lee 2014).

Breaking the glass ceiling is particularly difficult, with a male dominated work culture. After-work bonding, involving copious amount of alcohol, can improve work relationships and even impact promotions. However, these are not widely considered as appropriate for women, especially if they have children, and whom often don’t want to drink as much as their male colleagues. With numerous reports of male colleagues using alcoholic intoxication as an excuse for sexual harassment, it also puts women in a vulnerable position. Of reported workplace sexual harassment 44.5% of them happened at a hoesik (McKay 2014).

Additionally, there is a strong form of blatant sexism in the workplace. Taking the form of pressure against women not to take roles with responsibilities, to their abilities being questioned on the basis of their gender. Today’s sexism “arises from […] subordination for male authority, especially in the current capitalist environment where women are gradually gaining influence” to the point that some men feel threatened by women taking jobs they consider as being theirs (Lee 2014). Even more, “powerful women are facing negative sentiment among people in general” (Lee 2014).

On top of it all, women are expected to be feminine and complacent, to conform to social expectations (Lee 2014). In Korea, this usually means conforming to the rigid code of beauty.

The Female Ideal of Beauty

In all cultures and societies, beauty norms and representations are not frozen in time, but are constantly changing. The place of women in society has a very strong impact on what is deemed appropriate for their appearance. “Historically, Korea is a nation founded on Confucianism that places women at the bottom of the hierarchy and that treats women as inferior to men” (Lee 2014). Furthermore, Korea seems to be special in the way that the traditional model of beauty from the Choseon era lasted a long time without drastic changes until the country opened up to external influences (voluntarily and involuntarily) and at which point it was completely transformed. During the colonial period new beauty ideals started to emerge, but it is from the 1960’s on that a beauty revolution took place and accelerated with the country’s development.

Korean Beauty Standards

With the rapid transformation of Korea from a rural economy to a developed one, the role of women in society tremendously changed and with it the norms and customs of beauty. Looking back at pictures from the first part of the 20th century (appendix 2, below), we can see women with round faces, often with a center part in their hair. For many centuries, thick glossy hair, fair skin, thin eyebrows and small lips were the symbols of beauty. Make-up was often home-made from spices and plants and used minimally to enhance features. It was only acceptable for entertainment ladies to wear white powder or colorful products. In the 1930’s the Korean garb still was the norm and only very wealthy women would occasionally wear western clothing. Since the Choseon period (1392-1919) a simple yet elegant appearance, associated with a dignified behavior and humble manners, were considered the quintessence of beauty and elegance following Confucian standards. However, as the country suffered from poverty, most women did not have the means to spend on their appearance, only wealthy women could. Western fashions were for the wealthy and city folks while the average person still wore traditional clothes. “Korea was not a strong country, and people’s efforts to protect and preserve their identity served to strengthen their conservative values” (Lee 2014), which also translated in the way they portrayed themselves. This shifted slowly until the 1980s when Korean clothes started being reserved for special occasions and western fashion became the norm.

Examples of Korean women in the 1900’s(Appendix 2, L-R: Portrait of four women, Peng Yang, Korea, 1924; Bride, Gishu, Korea, 1926; A young ‘kisaeng’ in full Korean traditional dress, ca. 1904. Source: University of Southern California Library)

After the war, Korea opened up further to western culture, which became synonymous with development and modernity. Until the 1987 Democracy Movement “Confucian tradition was largely responsible for dictating the roles of women” (Lee 2014) and with it the way they should present themselves in society, but The 'S' Shapethis new era transformed both the role of women, bringing them from the home to the workplace, and the perception of beauty. “Under consumer capitalism Korean women’s bodies have entered the public sphere, no longer hidden away but now available for scrutiny and consumption” (Ruth Holliday 2012).

In Korea, there is tremendous pressure on women to conform, and most women are conscious of the “harsh criticism that comes when [they] deviate from the norm” (Lee 2014), leading to a strictly defined beauty ideal. The contemporary beauty ideal is quite far from the prevalent model of only 20 years ago. Nowadays, the Korean ideal of beauty looks nothing like the moon-shaped beauties of the past. Fair skin is still admired, but beautiful features are singularly different than in the past. Eyes should be big and open, the bridge of the nose should be high and its tip slender, the face should be small with a narrow jaw, the body should be very slight yet show an “S” shaped curves (appendix 3, source: The Grand Narrative). To some extent, this new ideal looks more like a comic book character than a realistic image of women, and can rarely be achieved without constraining one’s body or altering it drastically through cosmetic procedures. Yet it is omnipresent in the media, advertising, and in the messages directed to children from an early age (appendix 4).

Bean paste S-line V-line(Appendix 4: Messages directed to young children carry messages of beauty, physiognomy and conformity, here in an advertisement for bean paste. Source: The Grand Narrative)

This standardization of beauty is especially strong among young women who want to emulate celebrities and are constantly being reminded by the media and society that showing good care for one’s appearance is essential for achieving a good marriage and a successful life. The popularity of cosmetic surgery is such that it is considered normal for celebrities to be redone and still represent role models. It is hence no wonder that Korea is the countries with the highest number of children having plastic surgery and double eyelid surgery is a common gift for graduation from parents.

The paradox goes even further, asking women to embody simultaneously images of innocence and purity, while being glamourous and exciting to the male gaze. However, “expressions of sexual subjectivity remain a big taboo in Korea” where we “can have a 25 year-old’s S-line quite literally highlighted for a heterosexual male gaze, but heaven forbid she admit to having sexual feelings and experience herself” (Turnbull 2012).

Standardization of beauty is also spread through the assignment of different letters to exemplify the ideal shape, “while this practice is seemingly frivolous on the surface, it actually belies much more pernicious trends in society at large, when you have celebrities vocally espousing their alphabet-lines and therefore actually objectifying themselves as a conglomeration of “perfect” body parts rather than as whole, genuine people” (Turnbull 2013).

Fueling the Korean cosmetic industry’s steady growth of more than 10% per year for the last few years, the beauty obsession is constant, from adds for plastic surgery and dieting in public transportation to the “mushrooming cosmetic shops, which have increased 37% a year on average” (Raitt 2014). In a patriarchal society where women are not yet treated as equals, these all reinforce the belief that “pretty girls are more valuable” (Lee 2014) and push for conformity. It is a new way to impose the demure Confucian-influenced image that is wanted and anticipated of women.

Conforming to the Ideal

Some researchers assign plastic surgery in the “Neo-Confucian ‘culture of conformity’, where the unity of the whole is more important than the individuality of the one, producing beauty as a new requirement of decorum’ for women” leading to an environment where women are “obsessed with their appearance” (Ruth Holliday 2012).

Furthermore, the backlash in Korea can be very strong and according to scholar Lee Sang-Wha three factors have “helped uphold Korean society and eventually led to the demure girl image of today: gender segregation, division of gender-assigned labor and the subordination of women” (Lee 2014). It left no place for feminism in Korea’s Confucian heritage where the old values still push them to “appear subordinate and innocent” (Lee 2014).

However, important changes in Korean society can offer another reason behind contemporary beauty trends. The political and economic transformations of the past 30 years, accompanied by an incredible speed of democratization and industrialization, offered new social opportunities for women. As we have seen earlier, university attendance is extremely high, and Korea actually has one of the highest rate for women’s enrollment in college globally according to the OECD.  Some sociologists argue that this “recent upsurge in female societal empowerment may be associated with an oppressive backlash in media portrayals of gender ideals” (Turnbull 2013). This unrealistic expectation on women has also been observed in other regions and “historical data suggest that societal shifts toward gender equality are often accompanied by increased media portrayal of unrealistic gender norms as a reactive “tool of oppression” by mainstream society” (Turnbull 2013) further pressuring women to conform to the beauty ideal.

All of these negative forces appear in the private and the public spheres. The “care of self and cosmetic surgery increasingly link notions of ‘correct’ or ‘appropriate’ appearance with performing adequately in society as a social subject” (Elfving-Hwang 2013).

Plastic Surgery’s Normalization

The numbers speak for themselves, the International Society of Aesthetic Plastic Surgeons’ global ranking places Korea number one in procedures per capita in 2010 (table 2, below), ahead of the United States and Brazil, and also tops the list with the biggest number of registered cosmetic surgeons per capita (Elfving-Hwang 2013). According to the Korean Association for Plastic Surgery, “1 in every 77 people in South Korea has had [at least one] plastic surgery (Raitt 2014). The Fair Trade Commission also stated that one quarter of the world’s plastic surgeries take place in Korea, representing a 500 billion won industry (Raitt 2014).

Plastic Surgery Procedures per 1000 population, 2010There are two categories of cosmetic procedures. For the non-surgical procedures, the most popular ones are in order of importance: Botox, hyaluronic acid injectables, laser hair removal, autologous fat injectables, and IPL laser treatments (Raitt 2014). These petite surgeries are highly popular as they are non-invasive, cheaper, and require no down-time, exemplified by Botox which counted 145,688 procedures in 2012. On the other hand, the surgical procedures in order of popularity are: lipoplasty, breast augmentation, rhinoplasty, blepharoplasty (double eyelid), and abdominalplasty (table 3, source: source: the Korean Consumer Agency).

Top plastic surgery procedures in 2010As shown by these statistics, plastic surgery in Korea is increasingly normal, with more and more women, and men too, opting to go under the knife. However it is important to point out that women are not passive consumers of beauty, on the contrary they are “highly informed, active agents in their engagements with cosmetic surgeons” (Ruth Holliday 2012). Cosmetic surgery is seen as something positive, that enables access to a desired social status and becomes a symbol of middle class and gendered identity (Elfving-Hwang 2013). Furthermore, the liberalization of cosmetic surgery is also seen as “democratizing practice” and the high growth rate of complex surgeries with high risks, such as the chin and mandibular reduction operation, reflect the trivialization of the practice (Elfving-Hwang 2013).

Confirming earlier arguments about the culture of appearance, plastic surgery has become a marker of consumer middle class identity, of wealth and social status. In turn it “emerges as a highly effective force encouraging individuals to perceive aesthetic surgical intervention as a practical and normative option for self-improvement” (Elfving-Hwang 2013). However, it carries an important weight as well, creating an internalization of patriarchal beauty standards, where “women constantly examine their bodies in a negative and pathological light” (Ruth Holliday 2012) in their insatiable quest to an unrealistic body image.

Conclusion

Women’s place in Korean society, their assigned gender role and idealized representation, is the fruit of the country’s Confucian heritage as well as external influences from the West and Japan. Korean women have not yet reached emancipation as shown by the fact that they still do not own they own body and image and that they are subjected to the paternalistic ideal of beauty. Women’s higher education level is met by tough sexism in the workplace, and although they have more freedom and spending power they still suffer from the constant pressure to conform to beauty standards and expected behavioral traits. The strong backlash against those who do not conform also serves as a way to keep women in check and limit their emancipation.

However, all is not negative. With the new generation coming of age, more and more women are fighting against the system to gain recognition and equal rights in the workforce and it ripples to the private sphere through their increased independence. Korean gender roles are still changing and women will find a way to reconcile their need belonging to the group and their want for self-determination.

References

Choi, Hyaeweol. 2009. “”Wise Mother, Good Wife”: A Transcultural Discursive Construct in Modern Korea.” Journal of Korean Studies, Vol.14(1) , pp.1-33.

Chung, Yeon Shim. 2012. “The Modern Girl (Modeon Geol) as a Contested Symbol in Colonial Korea.” In Visualizing Beauty: Gender and Ideology in Modern East Asia, by Aida Yuen Wong. Hong Kong University Press.

Elfving-Hwang, Joanna. 2013. “Cosmetic Surgery and Embodying the Moral Self in South Korean Popular Makeover Culture.” The Asia-Pacific Journal, Vol. 11, Issue 24, No. 2.

Kim, Taeyon. 2003. “Neo-Confucian Body Techniques: Women’s Bodies in Korea’s Consumer Society.” Body & Society 9(3): 97–113.

Korean Overseas Information Service. n.d. “Women’s Role in Contemporary Korea.”

Lee, Annie Narae. 2014. “The Fight for Equality: Women’s Struggle to Defy Prejudice, Stereotypes and Tradition.” Groove, Issue 91, pp.58-65.

McKay, Anita. 2014. “The Working Woman: Is Korea Ready for Women in the Workplace?” Groove, Issue 91.

Ou-Byung Chae, Jung-Hae Choi. 2008. “Korean Society in Change: Statistics and Sources (I, II, III, IV).” Korean Journal of Sociology 42.

Park, Hyejin. 2014. “Qualified, trained and nowhere to go.” Groove, Issue n.91.

Raitt, Remy. 2014. “The Big Bucks in Beauty: From cosmetics to eyelid surgery, vanity spurs Korea’s economy.” Groove, Issue n. 91.

Ruth Holliday, Joanna Elfving-hwang,. 2012. “Gender, Globalization and Aesthetic Surgery in South Korea.” Body & Society, Vol.18(2), pp.58-81.

Turnbull, James. 2012. “Bikinis, Breasts, and Backlash: Revealing the Korean Body Politic in 2012.” The Grand Narrative, Korean Feminism, Sexuality, and Popular Culture.

—. 2013. “Revealing the Korean Body Politic, Part 3: Historical precedents for Korea’s modern beauty myth.” The Grand Narrative, Korean Feminism, Sexuality, and Popular Culture.

“Sexy Concepts with James Turnbull”

Lee Hyori Bad Girls SBS Inkigayo 인기가요 25 May 2013(Source)

Ahem. But really, they’re just a very small part of my July interview with Colin Marshall for the Notebook on Cities and Culture podcast, where we also discuss:

…what Westerners find so unappealing about Korean plastic surgery; the associations of the “double eyelids” so often surgically created; why he used to believe that Koreans “want to look white”; the meaning of such mystifying terms as “V-line,” “S-line,” and “small face”; the uncommon seriousness about the Western-invented concept of the “thigh gap”; how corn tea became publicly associated with the shape of the drinker’s jaw; Korea’s status as the only OECD country with young women getting thinner, not fatter; Korean advertising culture and the extent of its involvement with the “minefield” of Korean irony; the prominence of celebrities in Korean ads, and why the advertisers don’t like it; how long it takes to get tired of the pop industry’s increasingly provocative “sexy concepts”; the result of Korea’s lack of Western-style reality television; how making-of documentaries about 15-second commercials make the viewers feel closer to the celebrities acting in them; why he doesn’t want his daughters internalizing the Korean sense of hierarchy; why an expat hates Korea one day and loves it the next; how much homework his daughters do versus how much homework he did; the true role of private academies in Korea, and what he learned when he taught at one himself; the issues with English education in Korea and the oft-heard calls for its reform; the parallels between English test scores and cosmetic surgery procedures; the incomprehension that greets students of the Korean language introduced to the concept of “pretending to be pretty”; and how to describe the way Korean superficiality differs from the Western variety.

Apologies in advance for not being much more succinct when I spoke (I’m, well…er..uhm…working on that), and by all means please feel free to ask me to clarify or elaborate on any of those topics.

Also note that Colin has interviewed over 30(?) other expats and Koreans, men and women, and Korea and overseas-based speakers for the Korean component of his series, all most of whom are much more articulate and entertaining than myself, so I strongly encourage you to browse his site. I myself was blown away by Brian Myers’ interview yesterday, which was full of insights and observations that all long-term expats will be able to relate to (and will be very useful listening for those thinking they may become one), and Bernio Cho’s is essential if you want to understand the Korean music industry better. And those are just the two I’ve listened to so far!

A Weighty Matter: Deconstructing the Korean Media’s Messages about Body Image, Cosmetic Surgery, and Obesity

Korean Drama Screenshot(Source)

I was quoted in the Korea Times today, on “Korean primetime’s ‘lookism’ problem”. Due to my sloppy wording though, the fact that I was actually paraphrasing someone else(!) got lost in the final article. So, to give credit where credit’s due, and to use the opportunity to provide some helpful links to further reading, here’s my original email quote:

As researcher Sarah Grogan pointed out in Body Image: Understanding Body Dissatisfaction in Men, Women and Children (2007), watching more television doesn’t necessarily lead to greater dissatisfaction with one’s body—it’s the messages it gives that are what’s important. So, whether it’s a variety program, a music video, an advertisement, or whatever, if what you’re watching stresses being thin, if it encourages viewers to compares themselves with the ideal men and women presented, and/or if it makes you feel like there’s such a huge gap between your own body and theirs, then you’re just going be left feeling ugly. Television everywhere is guilty of that. Korean television though, really stands out with the sheer amount of programming time devoted to appearance and dieting, with its uncritical narratives that cosmetic surgery is a safe and reliable means to financial and romantic success, and with the seeming unconcern with, even positive encouragement of passing those messages on to children. Call that a gross generalization if you wish, but consider this: although Korean children (of both sexes) are only about average weight compared to other OECD countries, Korea is the only country where 20-39 year-old women are getting thinner. Is it really so strange to suppose that the Korean media might have had something to do with that? So unreasonable to suggest that it could sometimes present more realistic images of women?

To be precise, it’s the 2nd half of the 2nd sentence (from “if what you’re watching” to “feeling ugly”) where I’m paraphrasing Sarah Grogan again (p. 112). But, without my making that clear, then it’s no wonder that reporter Kim Bo-eun didn’t realize, and so didn’t mention Grogran. My fault sorry, and, not just because I’m feeling guilty at the *cough* inadvertent plagiarism, naturally I highly recommend Grogans’ book, although frankly I’d wait to see if a third edition is coming out before you consider purchasing it yourself.

Most the of the subsequent links are self-explanatory, so I’ll just highlight a couple. First, the one to Joanna Elfving-Hwang’s “Cosmetic Surgery and Embodying the Moral Self in South Korean Popular Makeover Culture” at the Asia-Pacific Journal, because it’s a must-read. At best, I can only supplement it myself with this recent translation of mine (with links to many more articles) on how scarily unregulated—and genuinely dangerous—the Korean cosmetic surgery industry is, with a Chinese patient dying just last week.

Next, my latest article for Busan Haps, where I debunk recent alarmist reports about—yes, really—a ‘Korean Obesity Epidemic’, especially among children. To quickly sum up my findings for you here, despite the definite improvements that can be made to Korean children’s health, they are actually only about average weight for the OECD (which I suppose is news for Korea), and Korean adults are still the 5th thinnest overall. Like with smoking however, it is both misguided and unhelpful to think in terms of overall rates rather than specific demographics, two extreme cases in point being young, urban women who are getting more underweight, and elderly, rural, poor women who do indeed tend to be (slightly) more obese than ‘average’. World-Changing Quiz ShowSomething to consider the next time a columnist or show host lectures Korean women on eating less—which will probably be as soon as next week, in the run-up to Seolnal on the 18th (source, right: Entermedia).

Finally, another clarification. By “Korean television…really [standing] out with the sheer amount of programming time devoted to appearance and dieting”, I don’t mean shows explicitly devoted to those subjects as such (although I’m sure that, comparatively speaking, their numbers would still be quite high). Rather, it’s that those subjects pervade Korean programming content, with hosts on Korea’s disproportionately high number of variety and guest shows, for example, frequently commenting on especially female guests’ appearances, either by jokingly fat-shaming those that don’t fit the ideal, or by prompting ‘impromptu’ skits, dance performances, or testimonials about dieting and miracle fat-reduction products by those that do, to the extent that such body-policing becomes an integral component of the entertainment (Kim Bo-eun also mentions some examples in Korean comedy shows).

This is just my strong impression though, which I admit I can’t offer any content analysis to back-up, and which I doubt even exists anyway (would anyone like to do some with me?). If any readers have a different impression of Korean television then, and feel that I’m mistaken, by all means please tell me why!

Korea and the World: My Podcast Interview

Brown Eyed Girls Japan(Source: Danny Choo; CC BY-SA 2.0)

“Korea’s entertainment industry has become extremely popular abroad and conveys the image of a modern and attractive country. Watch any K-Pop video and you see plenty of skin and sexiness; but look into Korean culture as a whole, and you witness the dominance of traditional values. Does the way women are depicted in Korean popular culture tell us something about gender politics in Korean society? How persistent are traditional gender roles? Does the entertainment industry empower women or does it merely represent the reality of gender patterns in Korea’s conservative society? To answer these questions and more, we sat down with media specialist James Turnbull in Busan.”

A big thank you to the good folks of Korea and the World, for being such pleasant podcast hosts back in November. Unfortunately though, frankly I had a terrible cold at the time, so apologies in advance if I sometimes sound a little incoherent during the interview!

Either way, make sure to also check out the interviews of Robert Kelly, Daniel Tudor, and Andrei Lankov, with many more to be added in coming weeks.

Update: If you’re interested in hearing more about K-pop specifically, also check out the first episode of Anonymous Said, a new podcast series in which the host aims to “talk to anonymous guests each week, and together…comment on recent events in Korea, and the experiences the guests have from behind-the-scenes of entertainment and life here.” This blog gets a brief mention at 21:50 (squee!).

Thinking About Getting Cosmetic Surgery in Korea? Make Sure You Read This First

Korea Cosmetic Surgery(Sources: left, dongA; right, The Kyunghyang Shinmun)

The more operations, the more possibilities for complications, mistakes, and patient deaths. So, with the highest per capita number of cosmetic surgery operations in the world, you’re always going to hear a lot of harrowing, even terrifying experiences of going under the knife in Korea. Korean cosmetic surgeons, who are no more unethical or incompetent than those from any other country, shouldn’t be singled out for horror stories that can happen anywhere.

But it’s more than just numbers. With so many clinics lacking even basic first-aid equipment; doctors clamoring to break into the lucrative cosmetic surgery market whatever their training and specialization; patients receiving little to no warnings of side-effects; little regulation by the Ministry of Health and Welfare; insufficient support staff because they’re too expensive; and patients doped-up to disguise the fact that the hot-shot surgeons they’ve hired have been replaced with cheaper ones, then the whole industry is well overdue for a makeover. In hindsight, it’s amazing that such an important growth market, and symbol of Korean skill and technological prowess, is really such a cowboy industry.

I learnt how bad things were from translating and following-up on the following article, but frankly it’s not the best source in itself. Feel free to skip through to the links at the end instead, which I hope provide a valuable resource for readers:

성괴 대신 내면미인 뜨는 세상 꿈꾼다 / I Dream of a World of Inside Beauty, Instead of Cosmetic Surgery Monsters

The Kyunghyang Shinmun, 22.05.13, by 이보람 / Lee Bo-ram (boram@k-health.com)

‘성형대한민국’에서 벗어나려면… / How to change this cosmetic surgery republic…

2013년 대한민국의 성형은 과열양상을 넘어 광(狂)적인 면까지 보이고 있다. 이를 잘 나타내는 말이 ‘성괴(성형괴물의 줄임말)’다. 최근 젊은 층에서 유행하는 말인데 똑같은 얼굴의 여성들이 강남거리를 활보하고 있다는 한 웹툰 작가의 만화에서 비롯됐다. 이러한 현상을 없애고 올바른 성형문화가 자리 잡기 위해 선행돼야 할 것은 무엇일까. 전문가들은 무엇보다 ‘내면의 아름다움이 평가받는 나라’가 돼야 한다고 입을 모은다. 특히 우리 사회에 만연된 외모지상주의가 먼저 타파돼야 한다는 지적이다.

In 2013, cosmetic surgery has just gotten crazy in Korea. This is shown in the arrival of a new term, ‘cosmetic surgery monster.’ Popular among young people, it originated from a webtoon about women on the streets of Gangnam all strutting about with the same face. What things have to be done in order to resolve this situation, and cultivate a proper cosmetic surgery culture? Experts say we have to be a country where inner beauty is also evaluated. In particular, we have to do away with the lookism that is deeply entrenched in Korean society.

SNL Korea Plastic Face 1(Source: Roshiel. See also: “SNL 코리아 Satirizes Korea’s Cosmetic Surgery Craze)

외모 편견·차별 사라져야 사회정의 구현 / Social Justice Requires the End of Judging and Discrimination based on Appearance

미국 스탠퍼드대 데버러 로우드 법대교수는 저서 ‘아름다움이란 이름의 편견’에서 외모지상주의의 문제점을 꼬집었다. 그는 전반적으로 외모가 떨어지는 사람은 고용이나 승진가능성이 외모가 뛰어난 사람보다 낮았으며 매력적인 외모를 가진 정치인은 그렇지 않은 정치인보다 두 배 이상 많은 표를 얻었다고 말한다. 또 외모를 법적·정치적인 평등의 문제로 바라볼 때 비로소 외모로 인한 편견과 차별을 없애고 진정한 사회적 정의를 구현할 수 있다고 강조한다.

Stanford University Law professor Deborah Rhode pointed out the problems of lookism in her article “Prejudiced Toward Pretty” (2010). She said that, overall, chances of employment and promotion decrease with one’s appearance. Attractive politicians also receive twice as many votes as uglier opponents. Also, she emphasized that in order to realize social justice and end discrimination, it is necessary to think of differences of appearance as a legal and political issue.

건강과 대안 이상윤 책임연구원은 “요즘 우리 사회를 보면 외모에 의해 성과나 능력이 평가되는 것이 도를 넘어섰다”며 “중장기적으로 외모지상주의에 대한 국민적 인식전환이 필요하고 개인의 능력과 성과로 평가받을 수 있는 사회가 돼야겠지만 지금 상황에서는 성형에 대한 피해와 규제부분 등을 보다 정확하게 알리고 천편일률적이고 획일화된 아름다움의 기준이 변할 수 있도록 모두가 노력해야한다”고 지적했다. 전문가들은 이와 함께 성형수술에서 나타날 수 있는 의료분쟁은 물론 의료사고에 대한 인식수준을 높이는 것이 필요하다고 강조했다. 즉 수술을 원하는 이들이 수술에 대한 위험성과 후유증 등을 정확히 알 수 있게 하는 통로가 필요하다는 것이다.

Lee Sang-yoon, chief researcher at the Center for Health and Social Change, said that “When we look at our society these days, it’s ridiculous how much ability and achievements are based on appearance,” and pointed out that “In the mid to long-term, we need to change our attitudes to lookism. We have to become a society in which people are evaluated based on their own individual abilities and achievements. But for now, it is more important to make people aware of the dangers of cosmetic surgery, to regulate it more, and to promote the idea that there is more than just one, monotonous beauty standard to aspire to.”

Experts emphasize that people considering cosmetic surgery should educate themselves more about side-effects and their legal options should problems arise. Both should be made easier for prospective patients.

실제 의료분쟁조정 신청이 매년 증가하는 가운데 성형외과와 관련된 의료분쟁도 큰 축을 차지하고 있다. 한국소비자원 소비자분쟁조정위원회 의료분쟁조정 신청조사 결과 올해 1분기에 신청된 의료분쟁조정사건은 233건으로 전년 동기(73건) 대비 약 3배 이상 증가했다. 진료과목별로는 내과, 정형외과·성형외과, 치과, 신경외과 순이었다.

한국소비자원 관계자는 “치료방법의 장단점을 숙지하고 고령이나 수술병력이 있는 환자의 경우 치료방법에 따른 효과나 부작용, 비용 등을 충분히 고려한 후 수술은 최후에 신중하게 결정해야한다”고 말했다.

Medical malpractice suits are increasing every year, a large proportion of which are cosmetic surgery-related. According to a survey by the Korea Consumer Agency, in the first quarter of 2013 there were 233 suits, over three times those in the same period the year before (73). In order of ranking, most were internal medicine related, followed equally by orthopedic surgery and cosmetic surgery, then dental, and finally neurology.

A spokesperson [A guess—literally, the term is “person connected to”] from the Korea Consumer Agency said “People have to weigh the good points against the costs and possible side-effects of cosmetic surgery very carefully. Older patients and those with preexisting conditions and medical histories should really consider if it is necessary at all.”

성형수술피해자 ‘인권·구제’ 사각지대서 방황 / Cosmetic Surgery Victims Are at a Loss

또 성형에 대한 ‘정확하고 올바른 정보 제공’이 필요하다는 지적도 이어졌다. 사실 지금으로선 성형외과수술에 대한 정보는 일부 병원이나 업체에서 운영 중인 포털사이트 카페나 관련 블로그 글들이 대부분이다.

Accurate and unbiased information about cosmetic surgery is also required. At the moment, information is mostly available from portal sites and blogs run by hospitals and the medical industry.

한국환자단체연합회 안기종 대표는 “사실 성형수술피해자들은 인권이나 구제 부분에서 사각지대에 놓여있는 상태”라며 “아무래도 본인이 원한 수술이었기 때문에 수술 후 의사에게서도, 가족에게서도, 나아가 사회에서도 외면 받는 상태”라고 말했다. 안 대표는 “본인이 예뻐지고 외모적인 만족을 얻기 위해 수술을 했지만 수술 후 부작용이 생겼거나 의료사고가 발생했다면 당연히 그에 합당한 법적 보호를 받아야한다”며 “정부가 정확한 성형피해자 실태조사에 나서 적극적으로 보호받을 수 있는 통로가 마련돼야한다”고 주장했다.

An Gi-jong, a spokesperson for the Korea Alliance of Patients Organization, said “In fact, cosmetic surgery victims are in a bit of a blindspot in terms of their support and legal rights,” as “because the surgeries are voluntary, when things go wrong they receive little sympathy from society, their doctors, and even their families.” He insisted that “even if the victim underwent surgery to improve their appearance, if malpractice occurs they should still receive legal protection,” and “the government should look into the current status of cosmetic surgery malpractice cases and implement a more proactive way of safeguarding their rights.”

현장에선 성형진료 허용 놓고 ‘갑론을박’만…. / The Pros and Cons of Limiting Cosmetic Surgery Licenses

이처럼 성형수술이 과열양상이 보이면서 일각에서는 성형진료를 성형외과 전문의에게만 받을 수 있도록 한다든지 전문의와 비전문의를 보다 확실하게 구분할 수 있도록 하는 대안이 필요하다는 목소리도 나오고 있다.

As explained, cosmetic surgery is getting out of control. So, one school of thought holds that only specialists should be permitted to perform operations.

대한성형외과의사회 이상목 회장은 “성형외과가 난립하고 각종 성형과 관련된 의료사고가 빈번하게 발생하는 이유는 전문의가 아닌 이들이 성형관련 진료와 수술을 하기 때문”이라며 “정부는 보다 확실하게 성형 전문의와 비전문의를 차별화해 국민들이 제대로 선택할 수 있게 하는 방안을 강구해야한다”고 말했다.

Lee Sang-mok, chairperson of the Korean Society of Plastic and Reconstructive Surgeons, said “One reason there are so many clinics popping-up and the number of malpractice suits is increasing is because so many non-specialists are performing surgeries.” Consequently “The government should make a division between specialists and non-specialists and help patients to choose doctors appropriately.”

하지만 전문의와 비전문의를 차별화하고 전문의에 대한 정보만 제공할 경우 오히려 일부 전문의에게만 시장독점권이 부여돼 비용이 높아지는 문제가 생길 수 있다는 반론도 만만치 않다.

However, if such a division is made, and patients are directed only towards specialists, there is a danger of monopolization and increased costs for consumers.

보건복지부 보건의료정책과 관계자는 “현재 의료법상에서 의사면허를 취득한 이들은 성형이나 피부 등의 의료행위를 할 수 있다”며 “전문의와 비전문의를 나누는 등의 규제는 오히려 한쪽에 독점적인 권한을 주게 돼 가격심화현상이 빚어지게 될 것”이라고 말했다.

A spokesperson [Again, technically a person connected to] from the Ministry of Health and Welfare’s medical welfare department said “According to current laws, anybody with a medical license can perform cosmetic surgery or dermatological operations,” and agreed that “a division between specialists and non-specialists would result in monopolization and higher costs.”

여기에 과도한 병원광고나 마케팅 등을 규제하고 제지할 필요가 있다는 의견도 꾸준하게 제기되고 있다. 이에 정부는 과열된 미용성형수술 오·남용 사안을 점검하고 예방대책을 강구하기 위한 ‘보건의료안전관리대책협의회’를 꾸린 상태다. 정부는 협의회를 통해 무분별한 미용성형광고를 제지하고 이용을 부추기는 부분에 대한 규제를 검토 중인 것으로 알려졌다.

In addition, there are an increasing number of voices raised against excessive hospital advertising and marketing, and are calling for their regulation. In response, the government established the Health Safety and Prevention Association in order to investigate how to cool down the cosmetic surgery fever, its marketing, and to and prevent abuse and excesses within the industry (end).

Korean Cosmetic Surgery CartoonHere are some links for further reading, in chronological order. Naturally, most cover much of the same material as each other, so for busy readers I’ve highlighted some of the most important points from them here (source, right: 헬스경향):

A very old article of course, but its description of the industry could easily pass for 2014.

Cut throat competition among the growing number of plastic surgeons has driven some to promote more radical procedures that others might not offer…

…A doctor with the Korean Society of Plastic and Reconstructive Surgeons said the procedure took off around four years ago when a Seoul dental clinic ran a major ad campaign promoting the cosmetic benefits.

As it became popular, plastic surgeons began offering the surgery, causing the price to fall and making it more affordable to more people.

“If we are seeing more complications, that’s largely because the sheer number of people getting the surgery has increased rapidly in such a short period of time,” said the doctor, who declined to be identified.

As the number of plastic surgeries has risen in Korea, so too has the risk for accidents. According to the International Society of Aesthetic Plastic Surgery, 650,000 plastic surgeries were performed in Korea in 2011. But experts also point to lax regulations and inadequate facilities as cause for concern.

About 839 out of 1,091 cosmetic surgery clinics nationwide lack proper emergency medical equipment, according to an assessment by the Health Insurance Review and Assessment Service. And many clinics go without hiring anesthesiologists or trained professionals to cut costs.

By law, any doctor with a medical license can perform a cosmetic surgery, even if he or she does not specialize in the field. The clinic in North Chungcheong, where one patient died in March, did not have a specialist.

Experts point out that clinics should be equipped with appropriate medical equipment to deal with emergencies that can occur during a surgery.

However, most do not have this or any other measures in place.

In data provided to Rep. Choi Dong-ik of the main opposition Democratic Party (DP), 77 percent out of 1,100 clinics performing cosmetic surgery were not equipped with defibrillators or ventilators, which are mandatory devices for first aid. Only 1.2 percent of such clinics in Gangnam have emergency equipment…

…Laws governing medical advertizing state that such billboards must have warnings included details of the potential side effects of surgery, but most have these in such small lettering that it is barely legible. An abundance of plastic surgery ads appeared after the government allowed medical institutions to set up promotions outside their premises in 2012.

…the Ministry of Health and Welfare has been taking a hands-off approach to plastic surgery because it is not covered by national health insurance.

“The Ministry of Health and Welfare does not guarantee the appropriateness of medical activity or the safety of new medical technology,” said Kim Jun-hyun, a member of the policy board for the Health Right Network. “The Ministry should at least assess the safety of operations offered by plastic surgery clinics through an official investigation.”

The number of complaints involving botched procedures almost tripled from 1,698 in 2008 to 4,806 last year, according to the Korea Consumer Agency. Among the 71 people who got help from the KCA in settling disputes over botched plastic surgery in the first half of 2013, only 15 percent said their surgeons warned them of the risks and potential side effects in advance.

Lee Sang-mok, the president of the association who also led the probe, said that his team had discovered instances of ghost surgery among doctors, which is the practice of substituting one surgeon for another without the patient’s knowledge.

The association also acknowledged that some doctors would administer to patients large doses of sleeping pills in order to conceal the fact that a different surgeon was performing the operation.

The president attributed such cases to excessive competition in the industry and low moral standards among surgeons.

Related Posts:

(Hat tip to Hong Kong Law Blog for some of the links)

You are Beautiful, Stop Hating Your Body

You are beautiful, stop hating your body(Source: 숭실 총여학생회 다락 Facebook Page)

Oops, I haven’t written in a while. Time to find something about body-image, the media, or popular culture to complain about then.

Seriously(?) though, there’s only so many times you can mention that young Korean women are chronically underweight, and the likely reasons for that. Better to highlight groups actually doing something about it instead.

One group is the Soongsil University Female Students’ Association, which recently encouraged women to stop excessive dieting by offering them free snacks, and passing on stickers and fans with messages like the one on the left above. It reads, “You’re different because you’re beautiful. Don’t feel bad or uncomfortable about your precious body based on other people’s stereotypes. Because you are you, you are beautiful. The 23rd Soongsil University Female Students’ Association: we are different, and we respect you.”

Those small efforts may seem futile in the face of the barrage of body-shaming messages women receive every day, but with three in five 19-24 year-old Korean women regularly skipping breakfast (nearly one in five, lunch and/or dinner too), then surely the growls in their stomachs at least got some questioning whether it was really worth it. As for the messages, body-image activist Minji Kim pointed out they’re surprisingly effective, and are now used by a number of organizations working on body-image issues:

“These messages create solidarity among people whose issues may have seemed daunting, because they were struggling alone. But when people share their stories and start talking about them? Then immediately they feel less lonely and empowered by knowing that there are other people like them out there and that they do have a support system.”

More specifically, Minji was talking about post-its like the one on the right, which reads “I would hate for you to lose even one gram in this world.” I’m unsure if it was placed there by the Soongsil students, by Korea Womenlink (remember their cool subway posters?), or if it was part of a collaborative effort, but the effect is the same!

You are Beautiful(Source: lunacharsky; used with permission)

Hat tip to the The Rootless Metropolitician, who led me to the group via the above photo.

Revealing the Korean Body Politic, Part 8: The Bare-Leg Bars of 1942

Liquid stockings nylon world war two(Source, above and below: Rare Historical Photos)

Back in the early-1940s, newly-invented nylon stockings were the must-have fashion item in the US. But supply could never meet up with demand, with 4 million pairs once selling in just 4 days.

Then the US entered the war, and all the nylon available was suddenly needed for parachutes, ropes, and bomber tires. Dupont, the sole manufacturer, retooled all its stocking machines.

Still desperate for the look though, women improvised with ‘liquid stockings’ instead, using foundation, black eyeliner, and eyebrow pencils to draw them on their legs. Stores soon began catering to the demand, adding more sophisticated lotions, creams, and sprays. Specialist ‘bare-leg bars’ followed.

So I read via this great book when I was 15, (although unfortunately that panel didn’t get scanned for the online version), and I’d like to pretend that I was taken aback by the lengths some would go to the sake of vanity, and precocious enough to realize that people were no different in 1991. In reality though, I simply thought that the women were crazy (hey, I was 15!), and didn’t understand how anyone could have been fooled by such a poor substitute.

More likely, women ‘wore’ them because liquid stockings became a pseudo-fashion in their own right—or at least until nylons became liquid stockingsavailable again (sparking the ‘nylon riots‘ of 1945). Either way, they’re another good example of the genuine concerns women had about maintaining a feminine appearance when they started working in factories in World War Two, as well as their cheap solutions (although this particular one would have been used off the factory floor). I’m glad to finally have a name for them, and a wealth of photographs to use in my presentations :D

Anybody know of any similar shortages and improvisations by women (or men!) in Korean fashion history though, which may resonate more with Korean audiences? Thanks!

The Revealing the Korean Body Politic Series: