There is a difference between cosmetic surgery which is undertaken to improve a one?s appearance thus elevating one?s self esteem, and plastic or reconstructive surgery to correct congenital defects, trauma from a burns, or road accidents that can have life changing benefits ....

If Utada has undertaken eye lid surgery, skin resurfacing, minor nose reshaping, or dental work, these partial non evasive procedures known in Japan as petit surgery is considered quiet acceptable ....

I would consider having my skin lightened (bleached) if the opportunity arose...

Joe Clinic perhaps ...

http://www.joeclinic.jp/

I know vanity is a deadly sin, where?s my horns and trident...