Requiring external validation from others is not a good way to build self esteem.
65% of people who have cosmetic surgery go on to regret it.
My friend recently died of stage 4 cancer. The first time she got it she had both breasts removed and beat it, but sadly the cancer came back. It ate away at her, but she never stopped to think poor me and was making jokes and telling her story to raise awareness till the end (she was very young and the cancer was missed initially because of this, despite her going to the doctors' three times and being dismissed.
That was brave. The surgery was necessary, but it took a physical and psychological toll on her.
This is not brave.
Chopping off healthy parts is neither brave, not does it deal with the extreme mental health issues that make individuals have such extreme reactions to everyday life.
And making it seem like just a little operation to make you happier diminishes the struggles and bravery of the women who have no choice to do it.
I know my friend, who was very straight-talking, would be very blunt if she'd ever come face to face with anyone presenting it as a lifestyle choice of no consequence.
I actually think it's disgusting that surgeons and mental health services allow and encourage this.
First do no harm... Etc.