People in China are lining up outside of clinics to get a massively popular “elf ear” procedure, Mandy Zuo reported for the South China Morning Post.

The belief is that elongating the ears will make a face look thinner and younger, per the Post. The procedure is popular with both men and women and can generally be done in one of two ways: Taking cartilage from another part of the body and placing it behind the ear to make the ear protrude or injecting the ear with hyaluronic acid.

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