I don't want to shame women who get surgeries and cosmetic enhancements.. I also think there are people who are not trying to be attractive and are going for an exaggerated look on purpose. But I also agree with something Lena said, 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.
As for body dysmorphia, I think being a sex worker can either help or exacerbate it. I know it sometimes helps mine because I feel desired and appreciated, but at other times I compare myself to other women a lot, particularly very young women. I know that I'm not perfect and I'm always looking for the next thing to fix because I worry about someone saying something hurtful about my physical appearance. When I was just beginning, a client who booked me for 15 minutes told me ''don't worry, it's okay if you look average, most men aren't looking for super models''.. I was shocked because I had never heard in my entire life that I ''look average''. I never believed anyone who complimented my physical appearance after this. (which answers another question on this thread)
It's kinda hilarious tho because I've had several backhanded comments about my physical appearance, my tattoos, my hair, my style, my body shape etc. In 2023 I've had a guy I saw only once say I look like I had gained weight lolllllllll I had clients complain I don't look 20 years old or that ''my breasts are as flat as fried eggs'' BUT IRONICALLY nobody has ever mentioned the very obvious skin graft on my left arm.