In China, more young women are getting cosmetic surgery, and they see it as a way to gain an advantage in their careers, reports Reuters. They also tend to favor facial procedures, such as eyelid surgery and nose surgery, over body procedures. Another trend is for a more Western-looking eyelid, achieved through double eyelid blepharoplasty.

According to a study, students made up as much as 80 percent of cosmetic surgery patients in Beijing last summer.

“Parents want their daughters to be beautiful so they’ll have an easier time finding a job or a husband,” said Ding Xiaobang, a Beijing surgeon. “They’ll often bring the child to get surgery the summer before college or even high school.”

Sandra Zheng, a director at a Chinese television station, said she got two injections of hyaluronic acid to raise the bridge of her nose last summer after graduating from school.

“I got it to improve my self-confidence,” said Zheng, 23.

Some Chinese choose double eyelid blepharoplasty to get double-fold eyelids, which is a common attribute of Westerners that is increasingly popular in China.

This Asian eyelid surgery is also performed in the United States. Recently, some cosmetic surgeons have reported an increased demand from the Asian community for this double eyelid surgery, which either creates a fold on the upper eyelids if there isn’t one, or adjusts the height of the existing fold to a higher position.

“Creating a double eyelid fold is a very precise procedure and requires careful pre-operative planning. It is critical to work with an experienced cosmetic surgeon familiar with the procedures and the particularities of the Asian anatomy and skin due to the tendency to hyper pigment, the increased risk of keloids or hypertrophic scars,” said facial cosmetic surgeon Dr. Ioannis Glavas, who performs the procedure. “Communication with your doctor is the key factor to success.”