i get what your question is all about, there was a tv program in the uk all about it, maybe you saw it,

there are sites ranging from everything from cosmetic surgery for people who need it, accidents and such, and people who have no insurance, to people who ask for say breast, facial, liposuction ect because they think they need it.
i will let you guess who gets the most support

my take on it is i would only consider contributing to a cause i believed in and cosmetic surgery is NOT on my list of prioreties unless it is essensial to the LIFE of the person involved not there appearance