"Are they going to get fired? No. But certainly it can affect dating," Flowers said. "It can prevent people from applying for jobs and taking new risks."
Flowers said some psychologists hypothesize that at least one-fourth of a person's self-esteem is based on how he or she perceives his or her body.
"I don't think that you can have fabulous self-esteem and hate that part of your body that much," she said.
But Flowers points out that most of the negative effects of having a poor body image are actually self-imposed. Flowers said she has had patients with severe disfigurements who lead relatively happy lives, while others with small imperfections that they perceive as large suffer greatly.
"We see ourselves differently than the way other people see us," said Flowers, who explained that siome individuals tend to obsess about a flaw while others tend to see the person as a whole.
Less than a week after her operation, Smith cannot stop focusing on her situation.
"She [Smith's doctor] is telling me that they're going to fall -- I'd like to know where they're going from, because she has removed that tissue," Smith said.
A request for an interview with Smith's doctor, Dr. Kim Meathrel, who works in private practice in Kingsron, Ontario, was not returned.
After a quick look at her photos, plastic surgeons in the United States thought Smith might have a chance to look better.
"I suspect that she could get dramatic improvement," said Dr. Malcolm Roth, vice president of Health Policy and Advocacy for the American Society of Plastic Surgeons.
Roth said even with the best outcomes on the first try of plastic surgery, doctors need to pay attention to a patient's psychological state and expectations.
"One of the key issues is just being realistic, it's partly the responsibility of the surgeon," said Roth, who pointed out that the larger the implant the bigger the risk for complications.
"It's not that you shouldn't have implants that are that large. But eyes wide open," Roth said.
No matter what the results, Flowers said there are steps patients can take to improve their body image.
"It's focusing on what your body does well," Flowers said. "It's focusing on the parts of the body that you like."