I don't think you guys have seen these girls up close..
First they slab on standard porn makeup, eyeliner, darken bridge of nose, darken cheeks, a bit of eye shadow
Then, When they take photos..
They take 20 of them, then select the best angle (facial slimming), dullest lighting or overexposed (to covers skin imperfection).
However in real life, these girls look extremely (Uncanny)... because it is incredibly difficult to balance facial geometry across different angles..
let's say the doctor gets her nose the perfect width from the front, will that that also work for her side view, what about 45* and other angles..
So you see... it can be done.. but the Majority of it without camera magic, I would call butchering...
What makes it worse, if the doctor DOES get it looking good in one angle, but less so in the other.. the Contrast immediately says unnatural...
I got nothing against cosmetic surgery.. I think for uneducated women especially, it's almost essential, because they must sell their youth quickly before it spoils.. and a full refit takes ~ 2 years to heal including tuneups..
There is also a large wave of lower income class asians sending their daughters under the knife at ages as young as 6 for the eyelid surgery... The reason is, if you get it younger, the face will grow into it, and it'd look more natural...
I don't think this is a problem as long as, as the guy mating with a modified female knows what he's getting... This is under the assumption that most men would care about the genetic outcome of their offspring...
It can however be argued that because our population is so large, it's no longer imperative to select for these things... but... i'm sure in the back of people's mind, they still tend to adhere to natural programming..