South Korea is the cradle of skin care innovation [1], which also makes it the metropolis of cosmetic surgery. According to the Central European News, 20 percent of Seoul women age 19 to 49 have gone under the knife. In fact, women are traveling from bordering countries like China to undergo top-rate plastic surgery procedures. But what happens when these women attempt to return home completely transformed? Total passport confusion.

The procedure lists range from simple Botox injections to double eyelid surgery to a full jaw renovation. So it's no surprise that these shocking before and after pictures are causing misunderstandings at border airports. Now after face-altering procedures, Chinese women have to carry special plastic surgery certificates listing their passport number, the hospital attended, and the length of their stay to pass through. Some even walk through customs with stitches and bandages still intact.

This influx of patients to South Korea is due to a lack of trust in the resident Chinese surgeons. Back in 2010, pop star Wang Bei died of cosmetic procedure complications [2], which only added to the fuel of unreliable certifications and ghost doctors. Plastic surgery tourism isn't reserved for the China-South Korea border. Women also flock to Western Hemisphere countries like the Dominican Republic and Mexico for more affordable procedures. Keep reading to see more before and after photos of real Chinese women who have undergone major plastic surgery.