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The term plastic surgery is a term, consisting a character or a GoAnimate user's avatar, trying to change their look because, how they said, "didn't changed looks for a million years". They absolutely change looks due to boredom.
List of people who change avatars
Mostly, people change to gun avatars to "kill bad users and join the force of good users", due to boredom of being in a T-shirt of common people in life.