College and high school students have been queuing up for plastic surgery in Changsha, Hunan Province, since the start of the summer holiday, the Sanxiang Metropolis Daily reported.

The most popular operations are alterations to the eyelids, nose and cheekbones.

Most of their parents have no problem with their offspring going under the knife, believing that a good appearance will bring confidence and many advantages to their children in the future.

The simplest eyelid operation, which makes a single eyelid into a double eyelid, costs 3,200 yuan (US$395). A girl who has just passed the national college entrance examination spent 150,000 yuan (US$18,500) on an operation that gave her a completely new face last week.