Hard to generalize about plastic surgeons -- "who" is best qualified, and "who" isn't !  A little bit probably wouldn't hurt someone with self-esteem issues, as many people with large noses, big stomachs, protruding chins and lopsided breasts STILL MANAGE TO GO THROUGH LIFE without going under the knife.  But, as shown on some of these "investigative" TV SHOWS, many people (especially women, who constitute the majority of candidates for surgery) tend to get "addicted" to the whole false idea of "perfection" through surgery.  Especially models, actresses, and just plain "vain" types (who actually aren't vain, again (in my opinion) just "low self-esteem" masquerading as "beauty improvements".  Why else do so many female candidates "buy into" this whole "beauty myth" trip ?