The weight of societal norms about the alteration of physical appearance will shift in the direction where most people will have looks which have been medically altered in some way.

"By the year 2020, no one will ask you whether you've had aesthetic surgery, they will ask you why you didn't have aesthetic surgery," predicted  Sander Gilman, a University of Chicago
professor who submitted a thesis on the history of plastic surgery.

Today, he says, it's acceptable to live in a world where you can change your looks but choose not to. But in 20 years or so, he says, "in certain societies - Brazil, Argentina, more and
more the UK, South Korea, India, Japan - the [question will be], 'Why didn't you take advantage? Why are you
walking around bald?'  he says.

As a precedent the article cites the example of the increasingly widespread use of orthodontics work to improve the appear of teeth.

It seems reasonable to expect advances in biotechnology to lower the cost, pain, and inconvenience associated with plastic surgery and other medical alterations in appearance. To take just
one example, currently the best way to replace hair lost by male/female pattern
baldness with real hair is to have follicular units moved to the front. The
results today may be fabulous, but eventually it seems reasonable to expect
gene therapies to be developed which can be injected or delivered via a surface
cream or paste.

Also, collagen injections will eventually be replaced by gene therapy injections that instruct cells in an area to make more collagen. A procedure that has to be repeated periodically
will be replaced by a procedure that has to be done only once.

The biggest area of cost lowering innovation will be in the development of techniques to use gene therapies to mould a face or other surface feature without performing surgery. Once such therapies
become available the pain, risk, time, and cost of appearance modification will
all drop so far that appearance modification will become very commonplace.

As for what everyone will look like: the big mystery is whether all people will converge on some universal look. My guess is that there will not be a single ideal appearance but rather several of
them since there is some variation in personal ideals for the appearance of
others. Think of it as analogous to different tastes in cars, music, and
clothes.

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