"The wax lips is my statement against plastic surgery. I’ve been very vocal about the genocide of a generation of women..."

"...  by the cosmeceutical industrial complex who’ve disfigured themselves. The wax lips really sends it home.”

Said Jamie Lee Curtis, posing in wax lips and quoted in "'Generations of women have been disfigured': Jamie Lee Curtis lets rip on plastic surgery, power, and Hollywood’s age problem" (Guardian).

Obviously, the word “genocide” is very strong and risks causing offence, given its proper meaning. To Curtis, however, it is accurate. “I’ve used that word for a long time and I use it specifically because it’s a strong word. I believe that we have wiped out a generation or two of natural human [appearance]. The concept that you can alter the way you look through chemicals, surgical procedures, fillers – there’s a disfigurement of generations of predominantly women who are altering their appearances...."

And yet: 

Curtis’s daughter Ruby, 29, is trans.... “I’m an outspoken advocate for the right of human beings to be who they are.... I’m a John Steinbeck student... and there’s a beautiful piece of writing from East of Eden about the freedom of people to be who they are. Any government, religion, institution trying to limit that freedom is what I need to fight against.””

I guess those Hollywood actresses with their chemicals and surgical procedures are not trying to "be who they are" but to be what they feel others want them to be. How "against plastic surgery" is Curtis? When is it "disfigurement"? When does she feel motivated to use the word "genocide"? One might feel inclined to say that each person is free to make their own decision, but when do onlookers judge them harshly? How do we know who is truly finding their real self in these medical cuttings and who is straining to conform to real or imagined societal expectations?

ADDED: Here's the question I was motivated to ask Grok: "Are trans women mostly attempting to look like beautiful women or is the goal simply to look like an ordinary woman (and to 'read' as a woman)? Or is it enough merely to feel, from their own perspective, that they are expressing their own personal idea of womanliness (or femininity) and not focused on what other people think of what they are seeing?"