I like this subject matter...
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Before I embark on the karma aspect let me ask you, and I use fictional names here as illustration, what you think of this scenario:
Jennifer is unhappy with how she looks. Let's not even judge what is beautiful as I go on the premise that beauty lies in the eyes of the beholder. Jennifer discovers plastic surgery, and today there are other non-invasive methods - aesthetic procedures - and she researches how she can improve her looks. She saves up and then goes for the procedures. She wakes up all swollen and probably bruised... but after a few weeks she looks in the mirror and she likes what she sees. She feels good about herself. She is a better person. She is confident. Ok you may argue that beauty is not everything but you have to admit, you are more attracted to a prettier person?? Correct??? Jennifer now has what she feels is her beauty... now you look at her and you will see beauty in the eyes of the beholder!
Yes we can be righteous and say karma had it this way.... I also believe that karma put those plastic surgeons on this planet. Yes we can say accept and move on... I will say accept, improve and move on better.
There have been horrid stories of really bad results and also deaths... this I know very well. Why? Research. The key is to research the subject and check out the doctor before you go under the knife. Come on... we would the same for any surgery. We should not mix up carelessness and ignorance for wanting to be beautiful.
There is nothing wrong about wanting to be beautiful. It helps the inside beauty too.
Of course there are some extreme cases where it is like an addiction and they just do not stop until even their parents do not recognise them. In this situation, it is not vanity but a psychiatric issue which is a whole new topic for discussion.
I am totally for getting help for outer beauty as much as I am for getting inner help from DS. Peace....and beauty!