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If I had the money right now, I'd go for cosmetic dentistry, removal of some moles, laser eye surgery, and something to fix the frown lines between my eyes. Other than those, I think I can work the rest into shape and be quite happy.
Sure, there are some who go overboard, some who feel it's succumbing to societal pressures, or esteem problems, but overall, it's a personal choice. You're the one who lives in your skin, so you should be the one to decide how you'd like to live in that skin.
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