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However, if this wider background context to why someone is seeking help with improving their looks is not fully grasped by the professional consulted, then disaster can follow. A woman might be disappointed following an otherwise helpful procedure, because unconsciously she was hoping it would deliver her estranged husband back. When this doesn’t always happen she could become devastated. She was however expecting the procedure to do more for her than was ever possible to deliver if she didn’t also produce some parallel psychological changes. Indeed it’s possible for self-esteem to plummet even lower if expectations were not properly dealt with psychologically, as well as learning how to integrate a change in appearance into your overall life. We know that aesthetic improvements can be enormously helpful in improving well-being. However a key mechanism is that the improvement in appearance bolsters self-esteem and self-confidence, and it’s the consequent change in your interactions with the world at large, than in turn brings about longer-term well-being benefits. The procedure, I’m afraid, can’t do all the work for you. However, if you properly harness the improvement in looks and take full advantage of it by also seizing the opportunity to change psychologically, then a positive spiral appears. You get positive feedback from others directly and indirectly about yourself and this in turn raises your self-esteem, and you end up feeling you look even better than you ever did. So it’s entirely possible that if you also alter the way you think about yourself and others, alongside an improvement in looks, the world becomes your oyster.