What an outdated way of looking at cosmetic surgery. There is a demographic who in my mind use it to transform themselves more like an art than anything else. (The insecure people who opt for plastic surgery almost always opt for procedures which you probably don’t even notice. You would be surprised how widespread cosmetic procedures are nowadays, because you probably aren’t noticing them. The people With obvious results almost always explicitly wanted that)
Your claim doesn’t hold in those cases in reality. I will explain to you why.
Insecure people want to appease their surroundings. They want to avoid any conflict. Getting big breast implants or noticeable lip filler is still heavily criticised in today’s society. Therefore an insecure person would be removing the filler or the implants very quickly (which happens frequently . Sometimes the closest family or friends are suddenly antagonistic to them just because of bigger boobs, or bigger lips). The women you see, who have said noticeable implants/fillers, against the odds of being shamed and bullied by the norm, are therefore very much in love with their plastic aesthetic. Their look compensates the negativity, which is why they sustain it. They are everything but insecure or weak.
I hope you could follow my explanation, and that you will look at it from a different angle. Even if the aesthetic is not the one you prefer.
In the game, I could imagine two paths. A sinister one where she is forced to get surgery, to become a fuckdoll. Or a positive one, where she has been strengthened through all the things happening to her, and she realises that she can drop her victoria secret aesthetic for a plastic fantastic one. Which she could never pursue due to the strict situation of being said model in the lense of the public. In this arc, maybe she’s living out a fantasy of hers, and is secure enough not to care about the opinions of people who will be judgemental anyways.