I'd like to suggest that there are no longer any restrictions on what features can be changed using the aesthetician. For example, I'd like to be able to change my eye color, but if I were to do that, I'd have to shell out money for a fantasia.
And lets talk about Hrothgar -- I can't even change my hairstyle at all without a fantasia. This is a huge issue.
Jandelaine has been doing this for years, getting him a little plastic surgery training isn't going to break the game, and make a lot of us happy.