[Discussion] Presenting Tzimisce as Stylists-for-Hire, and at What Cost?

So a bit of a rant: but has anybody else noticed the odd treatment of Tzimisce as these sort of stylists-for-hire?

It usually sprouts up in any conversation about Kindred stasis after enough time.

"If I got a really dork haircut in life, could my character change it later?"

• "You could cut it every night!"
• "Try wearing a hat!"
• "Go to the intensely possessive and demanding Clan that revels in isolation and control with a reputation for non-consensually warping their subjects into mindless automatons serving their own will."
• "Depends on how dorky your hair is. If you move to Seattle people may just think you're a hipster."

Now, not every one of the Fiends is going to be prototyping designs for the next Hellraiser movie on anybody who crosses their threshold without wiping their boots off on the welcoming mat (made out of the last person who barged in without invitation). Likewise, not every Ventrue is going to wear a silk tie so tight that it would strangle anybody who actually used their lungs.

However, it does come with the caveat that any Tzimisce who did have access to Vicissitude would have had to have been on their Vampiric business for a while, suffered under their Bane and Compulsions for upwards of the better part of a decade, and probably would have had to have practiced by shaping around a few test subjects until they got a feel for the art.

This is all to say that by the time that a Tzimisce is well-known enough to have a reputation for their talents beyond the clerk who'll pierce your ears at a mall kiosk, they've been subject to the subtle and not-so-subtle urges of their Beast and the demands of their "art" for some time. Seeking one out for an unfortunate chin or fresh new look after a few decades always seemed to me like going to Josef Mengele - or at least his protege - to set a broken nose while you're powerless to stop them.

Open Questions: How would you present this in your games, or even if your character resembles the archetype of a good-natured (as much is possible for a blood-sucking zombie) plastic surgeon for the static undead?

• Should you expect the payment of boons to stave-off "experimentation" with your request from a Dragon?

• If these characters exist in your setting: are they rare enough that powerful Kindred such as Princes and Barons may "collect them" on retainer to keep their abilities to themselves, or would you need to trade for rumors and secrets alluding where to find one willing to help your change without a steep price?

• Is the concept of a Fleshcrafter with a neutral-to-positive demeanor and view of warping others a positive for the presentation of the Clan, or does it take away their bite just as much as a member of the Ministry trying to help people get out of cults and kick their bad habits?