Depends on the motivation behind it. If there's nothing unusual about your appearance and you're just seeking perfection then yes, that speaks to a serious character flaw IMO. But, if you've got something going on like NO boobs or a seriously HUGE beak of a nose or w.e., something that society will relentlessly tell you is unacceptable and ugly... Then I could understand the motivation to change it.
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The Bad Guys
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