I suppose it’s a question for psychologists and social scientists, but we are gaining ground. In their annual statistical surveys, The American Society of Plastic Surgeons report that the steady increase in the number of procedures being performed is accompanied by increasingly favorable attitudes about plastic surgery. For me, it’s a question of extremes. Obsession with appearance over hard work to nurture talent is unhealthy. So is shaming those who choose to get a little work done, as though acceptance of whatever imperfections we have been born with is inherently noble. There’s a spectrum of motivations for enhancement through surgery, and most of them are good.