Elizabeth Haiken, "The Making of the Modern Face: Cosmetic Surgery," Social Research, Spring 2000. The American culture that produced cosmetic surgery is the increasingly visual, psychologically influenced culture of the twentieth century United States. For those surgeons who perform cosmetic surgery, the relationship between the physical face and the construction of individual identity has always been and continues to be central. "In our modern twentieth century United States, our attitudes toward cosmetic surgery have been based on a series of assumptions: that inside every person who looks different is an American struggling to get ...