Yes you are right bekind and annep, but it is similar to getting your teeth done, or having a facelift, or Botox, in that it is changing one’s appearance and the image one presents to the world.
Some people affect to not care what they look like or what they wear, but that in itself is making a statement.
So undertaking a fairly drastic, expensive, time consuming, and possibly irreversible change to one’s appearance implies a certain underlying insecurity and anxiety, and any comments should be supportive and helpful and not derisive.