Tragic that ones self esteem is so low they need to surgically mutliate themselves to meet some sort of manufactured image of personal beauty.
Translated into the English Language:
Tragic that any woman's self-esteem is so low she needs surgically to mutilate herself to meet some sort of manufactured image of personal beauty.
Or:
Tragic that anyone's self-esteem is so low he needs surgically to mutilate himself to meet some sort of manufactured image of personal beauty.