It depends on the country. Some countries, like South Korea and Brazil, absolutely have more attractive people who have access to they level of plastic surgery and have specific form they are trying to match. We are also only seeing plastic surgery getting better to a point where people don’t look like they’ve had plastic surgery.

I would also argue that generic engineering is going to be used differently. Various skin disorders, including acne, could be treated at the genetic level. You could also potentially change fat storage and muscle growth, making people thinner and more muscular; a byproduct of which would make them attractive.

Then, think of the children. Parents can design their children to be more physically fit even among their own genes. There’s been a meme going around of Henry Cavill and his brothers, using Squidwards as a way to comment on the variation in attractiveness. Imagine a future where parents could choose all their kids to be the attractive versions.