Mind you, I did this when I was a teenager, I'd be shy to do it now. Appearances didn't really matter where I was from. Mostly Rugby guys, surfing ppl and tradesmen from my small town. Nobody judged you by appearance. I've never seen so much designer ware until I lived in Korea. But, fan death does have a cultural stigma here, and appearances matter. It's really hard to change someone's belief on fan death. So, it's better just to feel amused by the difference in culture.