iccky

I'd say yes.

Not to dig on personal responsibility too much, which is of course sorely lacking in many aspects of modern society. But man is a social animal. Our self-perceptions are not entierly a product of our own "inner strength" or whatever term Rand would use because they inherently involve an aspect of our place in social relationships and the role we play in them. The only real way we can gather that information is by feedback from others.

If this woman is truly in an emotionaly abusive relationship, her husband has probably cut her off from friends, relatives, and convinced her that her co-workers are idiots who don't deserve to be listened to. The only source of information she has to determine her value as a social being is her husband. If he says she only has value as a social being if she gets D-cups, she has little choice - she can't choose to get information about her value as a social being from others. You can't really ask her to take "personal responsibility" for this aspect of her life, as she really has no control over it.

So yes, it's sad, though not really because of the plastic surgery but beause of the sick relationship it's a sign of.