Most BB's (like Mike Arvilla) are desperately seeking other peoples approval.. This is basically kid like behaviour, and a character trait of a very immature person... This means that most BB's are very insecure, have a lack of self worth and functions very poor as a person compared to normal people in the same age group.... They take huge health risks to attain a vision of what they lack as a person, but fixing your appearance means nothing when the mental issues within still remains the core of their emotional lives...
Conclusion: People like Mike Arvilla and Laura Lee Hanson (I'm only using these competitors as representatives for a big group of people, this is not an attack on them) are very immature, have a lot of psychological issues and are basically very very immature people wasting their entire lives trying to gain the approval of other people....