Surgery to create a bigger-looking eye is popular with many Asian-Americans, but plastic surgeons say patients want more subtle changes than they once did. "Patients used to come in and they would want Westernized eyelids ... I don't get that request nearly as much as I used to 10 years ago," said plastic surgeon Carolyn Chang. News that TV host Julie Chen had gotten blepharoplasty on the advice of her agent sparked debate about whether some patients feel pressured to look more Western.

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