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I think that promoting insecurity in the form of plastic surgery is infinitely more harmful than an artistic expression related to body modification.
What I've learned is that unless it's an emergency, like a fire or brain surgery, hierarchy is not necessary and may be damaging. If you have a hierarchy, you're repeating the strengths and weaknesses of one person without allowing for the accumulative strength of a group.
Think about it: Heart disease and diabetes, which account for more deaths in the U.S. and worldwide than everything else combined, are completely preventable by making comprehensive lifestyle changes. Without drugs or surgery.
Although we take it for granted, sanitation is a physical measure that has probably done more to increase human life span than any kind of drug or surgery.
I think everyone is forgetting what plastic surgery is for - if you have a face-eating tumour, lose a breast or are involved in a car accident, then it's a good idea.