Greybeard things.
https://www.forbes.com/sites/tomaspremuzic/2019/07/17/its-ti...
Then, in contradiction to all known online posting habits of most commenters, I decided to check my assumptions and go to a site that lists all the Fortune 500 companies and check the pictures of Fortune 500 leadership. I know, pretty bizarre, right? Checking to see one is right in their assumptions before inflicting their own opinions on everyone else.
My conclusion - executives, both board of directors and management, were all above average looking. Not one was a supermodel level, of course. But almost all were above average looking. But no way below average super nasty looking snaggle-tooth acne pockmarked people with a lazy eye looking in the opposite direction. No fat people at all. Of course, There were a few slightly below average looking people, but that is not the norm. There was one group of executives at one company that all of them were below average, but that was an anomoly.
So yes, get that plastic surgery. Get good haircuts. Stay in good physical shape.
It wouldn't surprise me if it's the norm at that level to have makeup artists for headshots either.
In the middle of my 17 years working remotely at a tech megacorp, I moved to a product manager role from a custom engineering manager. A couple of years in to my PM role I was feeling stagnant in my career so I purposefully got a headshot done wearing a sport coat and tie to replace my younger me ponytail headshot on our intranet directory.
The first change I noticed was a major difference in the respect and deference I received on calls. Over the next couple of years, I was promoted twice and was offered several lateral move opportunities.
Obviously, some of this change was due to my intentionality, but I attribute the headshot very highly.
Some important factors: I worked with a large number of salespeople in a highly matrixed salesforce. I worked on large global teams and people from some geos were more obvious in their deference. I am of above average attractiveness.