if someone has severe body dysmorphia and a doctor is making money off of them by encouraging outrageous procedures that's really unethical of them.
I think a psychological evaluation should be needed in some cases. Wanting to get your nose done because you’ve always hated it is normal but wanting your lips to be so big you can barely speak doesn’t sound healthy in any ways.
I worry about people getting breast implants that are too big and I’m not talking about F-G cups. Those things can rupture and leak in your body, the bigger the breast, the bigger the risk. It must also be incredibly difficult on your skin to stretch that much