All of Hollywood is about making a silk purse out of a sow's ear. With enough specialists dedicated to keeping you thin, coiffed, made-up, dressed, and carefully lit and photographed (then throw in the selective editing and plastic surgery), most 'average' people can be as 'beautiful' as the 'beautiful' people.
The pictures of Marilyn Monroe or Anna Nicole Smith before they 'made it' can make that pretty clear.
Oh and I seriously doubt any of the people participating in these commissions hasn't seen a million tattoos on women and men at the all inclusives they frequent. It's everywhere. Yeah Jolie was a scandalous yout. Most outstanding adults it turns out were less than monastical in their youth. Duh.