America- Land of strange shaped people?

I watched a TV program the other night about people in America who have plastic surgery.
I knew about boob jobs and liposuction but I didn't realise that men also have implants in there chests, arms , biceps and just about any other place rather than work out at a gym.
There were some total freaks on the program with surgeons justifying their actions with "here in the USA people care how they look, I don't know what its like in the UK".
Yes people care how they look, but in the main fifty year old men don't have arms full of silicon and the majority of people are not having new boobs every weekend.
More and more people in parts of the USA are having bits of themselves taken away, bits added, changed, re-shaped and enhanced. One woman had a $1000 a day image consultant following her about clapping every time she said something and telling here to have a brow lift. Get a life please dear.
These people are so screwed up that they actually think its normal to have boobs that look like over inflated rugby balls or biceps that can act as emergency floats in the event of a sudden flood.
One of the more scary things is that these people even get to vote. But then again it is America and it doesn't matter who you vote for Hillary will still get in. But that's another story.