The unfortunate reality of some of the more dramatic beauty trends is that not everyone can afford them. In developing countries where most people cannot afford some procedures, regulations may not always be as strongly enforced as they ought to be.
In the Philippines, while there is the FDA to regulate and approve ‘safe’ items, there is also a fair amount of products available that are extremely unsafe and causing controversy. A great example of this is skin whitening products, there are a lot of skin whitening products that have high levels of mercury in them. According to Dr. Bessie Antonio, president of the Philippine Society of Clinical and Occupational Toxicology (PSCOT), “Skin contact with mercury-added cosmetics can cause serious dermal problems, including discoloration, inflammation, itchiness and tiny bumps … can eventually damage the brain and the kidneys.’’
While many products have been recalled or made illegal it still remains that those products will be available and appeal to both extremists and some poorer persons, thus there are serious cases of skin disfigurement.
Many countries have had issues with with counterfeit botox and illegal surgeries, for example in Thailand there is an abundance of illegal practitioners that have little to no training and are cheap and therefore targeted towards the lower classes. In 2012 Thai actress Athitiya Eiamyai, 33, died due to a botched filler injection in the buttocks by an unlicensed practitioner.
While a lot of the more extreme beauty trends may be treated as normal and trivial procedures in some cultures it is pretty shocking to see what desperate persons will do to be beautiful. A South Korean lady named Hang Mioku became obsessed with silicone injections. After using regular silicone she started using black market silicone injections, and then eventually switched to cooking oil which ultimately left her face dramatically enlarged and permanently disfigured.
The ugly side of cultures with high levels of cosmetic alteration is unfortunately disfigurement and sometimes death.