O, you made a dog-assed ugly character. But plastice surgery is so old, that it's even mentioned in ancient sanscrit texts; As far back as ancient eygpt, sections of forehead were cut away to form new noses for soldiers who'd lost theirs in battle....
SOOOO.... if you're dog assed ugly, you"could" go to golden globe studios, try and get a job with them, and if you "fluff" the boss (male or femal), he'll arrrange to allow you to see a plastic surgeon. If you are dogg-assed ugly, they'll raise you CH to 4 double-cheap (like 100 caps), if you're already 4 or abotve, the GOAL ch times 100 is the cost (so if you want a ch of 5, you pay 500, 6 is 600, 10 is 1,000, etc). Maybe that needs to be revised a bit, but you know where this is going; If' you're already good looking and just a vain fuckwad, you pay trhough teh nose.
Just to prove I'm not full of shit:
http://www.randomhistory.com/2008/08/31_plastic.html