Most people get tattoos or piercings, experiment with hair and nails, or even change their sex and gender.
Imagine being so empty and vapid that the form your body modification takes is this garish, unnatural, conspicuous plastic surgery that doesn’t even achieve the desired effect of youthful appearance, but instead signals to other rich people that you have disposable income like an expensive watch or a fast car would, except with none of the aesthetics and all the fun of constant surgery.
This will eventually be used to deny you healthcare and health insurance. Law enforcement is already using private data to investigate and track women who may be pregnant or seek abortive care.