for sure it starts like that... but also there is a lot of pressure from the media and our society's views on aging women. Women are expected to be perfect, wrinkle-free beings, and age gracefully. Cant do that without medical intervention - other than staying out of the sun and eating very healthy.
Society and the media both suck.
I'd be damned before I listened to someone/something that sucked.
I'm overweight and not attractive in any sense of the word, but even if I had millions to do something about it, I'd burn the cash before I handed it to a surgeon. If someone can't appreciate me for who I am, fuck 'em. Especially someone whose opinion was swayed by anything other than them self.