I think what I'm trying to say is that body dysmorphia is a syndrome which clouds people's judgement. I'm all in favor of someone wanting to "improve" their appearance, but it becomes self-defeating once one passes the threshold of thinking "there's never enough." You see this all the time with patients appearing on "Botched" -- otherwise pretty women who feel they need implants to their breasts or butts to ridiculous sizes, lips puffed up until they can't speak without lisping, or otherwise becoming grotesque parodies of themselves. It's not because they NEED these surgeries -- it's because they have this "ideal" image in their heads, and instead of making themselves more beautiful, they become grotesque.
Consider the case of Pixee Fox, who wouldn't stop until a "doctor" in Turkey botched a nose job that gave her brain damage and sent her into a coma. The "Botched" doctors told her she needed to stop, not once, but twice. She ignored them and paid a terrible price.