People who judge you or choose their partners based on the aesthetics or material wealth of individuals are the saddest and most miserable. It is rather best to be bald, blind, deaf, mute, paralized etc rather than have a life partner who only looks at your beauty and not the actual person inside.
This should be the last reason why people should even consider body modifications even in the worst circumstance.
Cosmetic surgeries should only be for personal happiness.