Give anime posters what they crave

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When Picasso became bored of painting people, he started representing them as cubes and other abstract forms. The world called him a genius! I've spent my entire surgical career creating the same tired shapes, over and over again: the upturned nose, the cleft chin, the ample bosom. Wouldn't it be wonderful if I could do with a knife what that old Spaniard did with a brush?
HRT and SRS present new problems for the professional. As your tools improve, so do your standards. There was a time, I was happy enough to take off a wart or two, or turn a real circus freak into something you can show in the daylight. But that was then, when we took what we got, but with gene therapy and plastic surgery... the flesh becomes clay. What excuse do we have not to sculpt, and sculpt, and sculpt the anime posters, until they really become the girls they roleplay as?