I was surprised the lady I saw found someone, she was German like me but maybe her plastic surgeon wasn't. Perhaps just inch closer and closer to crazy by asking for minor touch-ups. Don't ask for the melons right away.
I've seen a bit about the Bogdanoff twins recently. They started off with minor adjustments but eventually turned into their "memorable" selves, though I find it hard to gauge what their reference point even was. Their behaviorial antics certainly contributed to their reputation. RIP either way.
...ah right, I had a thought too: Sometimes I think I'm losing my inner monologue, perhaps I'm turning into an NPC.