i didnt see the show, only a minute of it with the bonde looking in the mirror.
Anyway...its right with the "genes" thing - but on the other hand, see it from that side:
What people (women) do anyway is nothing else, eg. working out, eating healthy, buying cosmetics, putting on make-up, buying clothes which 'look good', getting boobie implants, tanning, teeth whitening, styling their hair.....etc...etc.....
So...from that point of view a surgery is only a more drastic measure than what people do already for their appearance in their every day lifes.
Look at all the celebs..the female ones, in Hollywood..who does NOT have "some" surgery......supermodels are hardly/rarely BORN looking as they look on the cover of Maxim after 10 dozen stylists fix their 'looks' ....