a) the shoddy execution of an inherently plausible vision?In other words, did the patient want something different, but the doctor botched the job?* Or did the patient want something weird and got exactly what they wanted? Both? How much of each?
b) the successful execution of an inherently scary vision?
Inquiring minds want to know.**
* A good plastic surgeon must, I assume, have a good eye, not just good technical chops, and I'm sure a lot don't have it. (I vaguely remember hearing some story somewhere... NPR...? Isn't that where I get all my information...? about plastic surgeons taking art classes to improve their aesthetic sensibilities.)
** Don't feel compelled to back your answers with facts and references. We're perfectly content with idle speculation.