I think you hit on the main issues: 1) evolving standards of beauty and 2) lack of research and knowledge. Hopefully, JackyO's untimely passing sheds light on this. Also, she was allegedly doing a promo procedure, i.e free/drastically reduced cost for publicity for the doctor. So a third issue is we do things for likes, money, and popularity without thinking of the long-term effects. Kelly Rowland once said that getting your breast done in Hollywood was like brushing your teeth. Our celebs get these things done so many times. Our beloved Beyonce has been under the knife several times in her 20 years. We have to understand that youth and money play big part in the success of a surgery. Unfortunately, Donda was no spring chicken and JackyO went for a free surgery. People like Beyonce only go to the most reputable and high quality, but when low standards are enough to satisfy the 'Gram, then that's what people go for. People have made cheap BBLs popular and what's attainable only becomes more popular. Sad situation.