Could be that he sees body work like bolt-ons, nose jobs, chin jobs, lip inflations, "pussy-plasty," hair extensions and leather-skin tanning beds as ENHANCEMENTS. And thus positive alterations.
While tats, piercing and shaved head are DEFACINGS.
For me, they are ALL DEFACINGS.
But, it's her body and her right to mar it as she wishes ...
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Amo i Gemelli!!