Well brother, you have been here for longer than I, so I respect your opinion, but I disagree. I still think that facial surgery is unnecessary and a waste of money in most cases. A wasteful cope. Let me tell you why I believe that.
As you said: "genetic worth wont go up". That is right. Even if an Incel go through a surgery, even if it is successful, and even if the results look natural. He still lacks a lot of things. Fundamental things. Things that can't be obtained with surgery.
Like money, social network, confidence and many other things. Confidence for example, can only be obtained after a lot of success in approaching females. I believe that confidence comes from success. What I mean is: even if the Incel has a new and better face, he won't know how to use it. He won't know what to do with it. He will probably do the same Incels things as always.
And there is another problem, I know of some people that became addicted to surgery. Sounds strange right? The thing is: every time they look in the mirror they find a new flaw in their face. So they do another surgery. They look at their face in the mirror again and they still find it lacking. So they do another surgery. They look again and think that the last surgery corrected some things but messed others. So they do another surgery.
By the end of the year they have done 12 surgeries, wasted thousands of dollars, and their face now looks like a Chernobyl victim. And they still think that the next surgery will solve it all.
Surgery solves nothing in my opinion. It only creates more insecurity and is a money drain. It exposes to your enemies that you are weak and insecure. And they will use that to hurt you.