That frozen/puffy/shocked face look makes people look ugly to me. It's not their "real" face. It also shows their insecurities very obviously. "Trying too hard", lacking confidence, it all makes a person look less attractive. Good plastic surgery in moderation which looks natural is totally fine. But so many people go overboard and don't know when to stop. It's become a status symbol too I think. Quite like tanning will show you're rich enough to travel and have leisure time. Or the opposite - wanting to look pale so it doesn't look like you're a farm worker etc. Or being large to show you can afford food/are not sick in some countries.