Anorexia's Living Face (CBS News) - is everyone beautiful in their own special way? who decides?

Does the fashion industry play a role in this terrible disease? What are the ethics of the fashion and cosmetic industries in this regard?Why don't we see more of talented people who are especially attractive in a traditional sense? Who decides what is beautiful? Is beauty 'constructed' by culture and the media? Were overweight people once thought attractive because their size indicated wealth?

What about skin colour and the paradox of tans versus whitening creams? How would these obsessions appear to an intelligent visitor from another planet?