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The age thing I highly doubt, asian pop stars simply don't start when they're 24, teens/early adult years are primetime for popstars in asia.
I've already said my piece about her eyelids in other threads but what ayu_ayu301 said caught my attention.
Did you know that Grover Cleveland had a cancerous tumor in his mouth removed secretly while he was on a boat while he was still president? Most people don't, news of it reached the masses only after his death, how it leaked is unknown, presumably family.
To quote the Hippocratic Oath directly, "What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of men, which on no account one must spread abroad, I will keep to myself, holding such things shameful to be spoken about." Doctors are required to keep their patient's information private, unless of course they'd like a lawyer thrusting a burning lawsuit up their descending colon.
The media only catches wind of plastic surgery and snippets of gossip because someone within that celebrity's circle babbled. I don't know how it's going now, but back in 2000-2001 ish there was a thriving black market for any information that anyone with access/had seen Ayumi's wardrobe/had gotten any photos/prints of her newest single. Fashion labels and department stores would immediatly gobble up the news after the information was sold to the highest bidder to immediatly get the clothes, makeup & hair styles, accessories, you name it, onto their shelves just as the single came out to be met with enthusiastic fans with spending money.
Information on new songs & styles are easy tidbits for a tech to get their hands on, but medical information? I highly doubt it. That's something that only a few select people would know for sure.
I myself, made my own guesses and observations that she probably had plastic surgery on her eyes. That's my opinion though. Double-eyelid surgeries are incredibly common for asian women, before she did much modeling she had the 'sleep-eyed' look that many asian women hate about not having double eyelids. But I do believe she also made her eyes a bit more wide by having the bottom lid pulled down just a smidge. If you notice often her lower eyelid looks like a soft 'ku' (in katakana that is) rotated 90 degrees as opposed to just a smooth curve. But that's just me, take it with a grain of salt.
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