My opinion on the taboo subject of people having invasive surgery purely for aesthetic enhancement is this...
I think a large part of your life is mapped out by the way you look, I would go as far to say that your personality is dictated by what stares back at you in the mirror.
For example, if you have large eyes accompanied with a child-like frame then people probably won't entrust you with important tasks, where as if you have narrow eyes with other features that we associate with sophistication, like a thin tall nose bridge with defined tip or sharp angular cheekbones and a good jaw, then they probably will take you quite seriously and trust you more.
I think stating "it's sad" that someone feels the need to alter their appearance, is purely a populist view. We wouldn't say that about most other attributes such as improving intelligence or job status.