There was a meme about ten years ago that went around showing a lot of celebrities before and after cosmetic surgeries with the caption “you’re not ugly, just poor” and that seems to align pretty closely with your sentiment.

And taking the time off work to recover is unrealistic for working class

I had a gf who lived in a camper in an RV park. She could afford a touch of botox a couple of times a year. She was 50 and looked 40, if not younger. You would have never guessed she did that.