Women in South Korea are going to extreme measures in order to reach cultural beauty standards. Dr. Kwon Taek Keun from A0ne Plastic Surgery and Aesthetic clinic is offering patients a “Smile Lipt” procedure for a permanent smile, Business Insider reported.

“When mouth corners are lifted up, a bright and gentle image is created, and the uplifted mouth corners create a bright and jolly appearance," Dr. Keun explains on the clinic’s website. “When corners lift up during a conversation, the person appears sincere and confident.” Known as the “Smile Lipt” (a combination of “lift” and “lip”) the procedure entails cutting the corners of the mouth and turning them upwards to give the appearance of an everlasting smile. A picture showing the results appeared on Reddit earlier this week.

Dr. Barry Eppley, cosmetic surgeon at Eppley Plastic Surgery in Indianapolis, said the operation that he calls “Mouth Corner Surgery” has been around for a relatively long time. “It was introduced over fifty years ago and it was developed to treat the downturned corners of the mouth that develop from aging as the facial tissues sag," Dr. Eppley told ABC News. "This facial droop pushes down on the mouth corners changing a horizontal smile line to an inverted smile line (at rest) in some people.”

It comes as no surprise to many that this controversial and unusual plastic surgery technique would end up in South Korea. According to a 2010 report from the International Society of Aesthetic Plastic Surgeons, the country has become the world leader in per-capita plastic surgery. Here are some other weird but true cosmetic procedures performed around the world:

  1. Just a few months back, South Korean women were captivated by the risky double-jaw surgery. A good portion of these women were left with facial numbness and even paralysis in their quest for a “V-shaped” chin.
  2. A fascination with feet hit whole new levels a few years back when women started going under the knife for toe shortening procedures. Toe shortening along with fat injections into the bottom of the foot were supposed to give patients the permanent high heel look they desired.
  3. Although not approved by the Food and Drug Administration (FDA), many women and men flock to Beverly Hill plastic surgeon Nikolas Chugay to get a tongue patch to stop them from eating solid food. Six stitches to fit a plastic patch on top of the patient’s tongue forces an all-liquid diet.
  4. Many young people regretted their decision to get their ears surgically pointed up to look like an elf or Star Trek character. Although it supposedly made hearing better, most patients just complained about an unbearable pain on the side of their head.