First I think that 'any' Doctor who does this, needs to have a serious look at their REASON for being a doctor.
Of late we are seeing more strange like humans, who have gone under the knife,of what can only be irresponsible doctors.
This new need we see with some people to look weird,tells that they may not
be in the right frame of mind.
So you have doctors who will not only take their money, but help with their quest to look as they do.
The whole thing is quite sick, from the doctors mostly.... to the weird thinking people.