people kind of do get into a weird dynamic with cosmetic adjacent medical concerns, like walk in say im losing my hair or my face has dark splotches and doctor says androgenic alopecia or melasma and some of them it's like as soon as it has a disease name they feel obligated to treat it even when they're repeatedly expressing verbally that the aesthetic doesn't bother them or they don't feel comfortable with the interventions for it. the whole encounter is set up to tell you this is an expert who orders you how to self improve, which is ofc absurd regardless of what the concern is but is absurd in a specific way when it's so inextricable from appearance standards -- and like with my boss, her presumption is that everyone else is vain in the exact same ways she is, so if she sees something cosmetically bothersome (to her) then ipso facto it's also life depleting (to you) and so she's not only justified in pushing fixes, but morally obligated to, because she knows better. but it goes the other way too, ive seen plenty of doctors dismiss people who want drugs for their hair loss or whatever that may in fact be completely benign hormonal ageing or genetics, but it bothers them socially and cosmetically and these doctors are like well i am the expert who can make a determination about what matters in your life and i declare you're fine, nd also stupid for caring about this. once again like the problem isn't the particular interventions one way or another, it's that the physician is actively hostile to the concept of caring what the patient wants, and especially hostile to spending enough time to convey the relevant facts that would allow the person a bit of working medical literacy to even form an opinion. so you either have your mind made up beforehand and just nod and smile in the appt and make your own judgment about what's best for you, or you're like confused and overwhelmed and feel strongarmed into a treatment plan you may understand almost not at all. so that rules