(CNN) -- "Dr. Youn, my daughter is so ugly."
A Korean mother in her 50s sits before me in the exam room, her teenage daughter next to her.
"You need to fix her ugly nose, open up her eyes and give her a double fold of her eyelids," the woman says.
"Okay," I look at her daughter. "Jane, what do you think? Is this something you want?"
Jane stares at the floor, unmoving. Then she speaks, eyes still looking downward.
"I guess. Whatever my mom says."
Plastic surgery is hot in Asia. One in five South Korean women from 19 to 49 have undergone cosmetic surgery, according to a 2009 survey from market-research firm Trend Monitor. That's reportedly compared to about one in 20 in the United States.
Although the United States and Brazil are the top two countries in sheer number of plastic surgeries performed, China and Japan are numbers three and four, according to the International Society for Aesthetic Plastic Surgeons. South Korea, with a population of almost 49 million, is ranked seventh.
