In reality, cosmetic surgery goes back to Ancient Egyptian times, involving nose reconstruction and the like.
With the chemical and physiological studies of the Alchemists, and the straight up arcane abilities to warp flesh that Occultists possess; It makes me wonder what the status or condition of bodily modifications and surgery in Achaea would be.
Naturally this is all generally circumvented by our capabilities to describe ourselves as we wish, within reason, but as far as justification for the minor commonly used features not exactly in line with the race (Newer players incidentally describing pointed ears on Tsol'aa, Normal eye colors on a Rajamala, Cow-tailed Trolls for those few who got them confused with Celtic and Brothers Grimm variety) or the desire or need to change it later (Realizing gray eyes is in poor taste comapred to blue, character is starting to get backpains and needs a reduction) it seems like a good scapegoat to explore.
And I'm sure the Occultists themselves would have a little more room to befuddle with appearances, a grook with non-prehensile facial tendrils, a troll having a crown of teeth around the crown of his head, a siren going full Mileena, a dwarf with a teratomic beard (nasty, don't google on a weak stomach) whether that was all intentional or a byproduct of delving into the art incorrectly.
It seems like an area that would be fun to play around with in the realm of roleplaying, however I also know that from my experience in tabletop games, this kind of thing is a dangerous, dangerous minefield. The last thing I want is people using this for Rajamala Nekomimi, or "Gender" antics that have caused firestorms in the past, especially over Satyr/Siren.
What do you guys think of this? It's probably also helpful or for the best if a Divine to hammer out and lay down the limits of Occultism with a rod of iron if this is to be explored at all.
However, restrictions set in place, enabling a Dr. Steinman style personality and background would be a rather interesting thing to have.