Why are obese women getting plastic surgery/Botox these days?

There is an obese Hispanic woman at work who got Botox and some other surgeries (can't remember the same) and works 2 jobs to pay for it. Don't know why she does not just lose weight. I heard another obese, if not morbidly obese woman, in her early 20s (ass ugly BTW) talk about getting plastic surgery as well. Forgot what type of plastic surgery it was.

The fact that clinically obese women are getting plastic surgery and Botox proves that a lot of doctors just want $$$ and don't care for the patient. Why not just be honest and tell them to lose weight at least the point of not being clinically obese before getting these expensive and painful surgeries?
AGE-28
Wt-165
HT-5'10"
Bench-100 dumbbell press-5 reps
*Mechanical Engineer*