Most likely these body-morph folks have varying degrees of “personal dysphoria”...maybe an obsessive mania...
Think of all the people who try an alter their bodies to achieve “whatever” image they think they must have...
BBL, sexual organ mutilation, breast implants, facelifts, extreme body building, mega-tattoos, facial metal implants, nose jobs, “hoo-hah” jobs, and finally Anthony Loffredo.
Can’t be a financial depression as long as there is money to pay for this.
The teen girls and prostitutes in this area seem to think extra poofy pouty lips are a great investment. They all walk around looking like someone gave them a fat lip in an argument and then had them suck on a lemon.