Over-indulgence in rich foods, sweets, alcohol to alter mood, to socialize, and for emotional consolation. Lack of physical activity. Bulimia. Depressants. Tobacco, prescription drugs, or heroin for social anxiety. Cosmetic surgery to erase rejected features.
Lack of physical activity...check.
Cosmetic surgery....check...I got my nose fixed when I was 20..I barely fractured it during baseball and used that as an excuse to have it "fixed".