To those that have, shall be given
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Perhaps by that stage, the cultural stigmas associated with augmenting appearances will have weakened sufficiently so that everyone does it. At which point people will be judged on merit/personality instead of looks. A world where everyone can look the same... Utopia or dystopia?
But there are exceptions; some people are open about their cosmetic surgeries. Perhaps some of them are (consciously or not) displaying their wealth.
I don't think tattoos and piercings are signals of wealth, usually. Most people in rich countries can afford them. Really elaborate tattoos might be an exception.
Cosmetic surgery gives you "beauty" in the same way that processed sugar gives you "nutrition"...that is, it doesn't. Eventually, people will evolve some other antennae that can't be corrupted so easily.