It can fall under the same umbrella. Unrealistic beauty standards being set by the "rich", who some people look up to as role models. If there were something that you could do that you might be able to afford, like botox or lip fillers, that you believe would make you more beautiful, closer to your role model... If that sort of thing matters to you, then yeah, you might go for it.

I was sort of thinking more like this though with respect to extreme alterations...