I completely agree. This is due to BDD, and the BDD is being expressed this way because these women have the money to do so.
But also, eh.
BDD has many different sources and presents in many different ways. You can have it with eating disorders, OCD, major depressive disorders, etc. It can cause you to see yourself in a myriad of false ways.
This particular presentation I am speaking about is going to present with personality traits adjacent to cluster C personality disorders, and anxiety disorders, and it causes the above result.
In this instance, you saying "it's a lot simpler than that" would be like if I described the specific ways the Nile river comes into existence and you countered with "it's simpler than that. It's just evaporation and gravity." Which is true, but completely discards the nuance and detail I was trying to impart, for a false sense of understanding.
So, you are completely right, but all you did was add more jpeg.