What is the ruling on getting cosmetic surgery?

What is the ruling on getting cosmetic surgery such as rhinoplasty (i.e., a nose job), lip augmentation, changing the size of the breasts or private parts for the purpose of beautification, or even liposuction, or procedures to correct deformations from burns or scars from accidents?

It is permissible to undergo a cosmetic procedure purely for beautification if it is performed by someone of the same gender because it normally exposes the body to touching and looking (i.e., only that which is permissible for even the same gender), and provided it does not involve deception or inappropriate behavior. Furthermore, it is not permissible for the procedure to be performed by someone of the opposite gender unless it is [absolutely] necessary. Such instances where it would be considered [absolutely] necessary include if any of the following were the result of the person not undergoing the procedure: experiencing unbearable harm or hardship that is not tolerable (e.g., illness), severe negative consequences or embarrassment due to unbearable physical deformity/mutilation, or aversiveness from the spouse. It would also be permissible if the surgeon of the opposite gender is more experienced, skilled, and precise in performing the surgery.

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