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>I'd be happier living as a 6'2 man with a straighter nose and a slightly better chin, but I'm not, and the only way I can get that is by faking it through surgery.
Yes but you are presumably not a debilitatingly ugly lad at the moment, just somebody who thinks nature could have been more generous with him in terms of physical attributes.
I'm not saying that plastic/cosmetic surgery won't improve your self image, but unless you really have a remarkably wonky nose - or tit - that causes you considerable psychological suffering, I think a lot of people who get plastic surgery do so not because they objectively need it, but because they have never learned to accept themselves for who they are. Plastic surgery is a way for some of them to become somebody else. Because somewhere deep down, they have low self esteem or even had an unhappy childhood where nobody ever gave them a sense of self worth.
On the other hand, I'm sure you've noticed that people with the biggest self confidence who get shags left right and centre aren't always the ones who look picture perfect. Usually, they are somebody who likes and enjoys who they are and doesn't worry too much about their nose or breasts, and they then project that. Self confidence, in the right dosage, is a powerful trait that attracts both friends and sexual partners.
You can then still say, yes, but I'm really doing plastic surgery just for myself. To feel better about myself when I look in the mirror. And that's probably not unreasonable, but again, unless you objectively look shit, the more profound and long-term fix is quite often to accept yourself the way you are.