Still simplistic and youthful. Lots of surgeries by older people are an attempt to look like their more youthful selves. Or plenty of women experience significant changes during pregnancy that are just facts of life. “Cope” is typically a word used in a derogatory sense, what is wrong with coping with change if we have the physical ability to do so in a way that someone wants? Body modification is a long practiced part of human expression. Id suggest earrings, tattoos, are forms of “cosmetic” surgery.