Fuck no to plastic surgery. That shit can fuck you up.

You're 6ft4 and earn $450,000 annually; women can look past the face. You're probably fine.

Keep lifting, work on your depression & anxiety, improve your dress/grooming, start living an exciting life you enjoy.

You have all the value you'll ever need. Now you need good enough social skills and access to the kinds of women you're interested in.

So build a social circle around your hobbies and interests that dovetail with the kind of women you'd like to meet.

Like arty women? Start going to art galleries. Like outdoorsy women? Get involved in cross country hiking challenges (Tough-mudders). etc. etc.

You don't have to use your money to buy things, but it can help you get access or create an ecosystem where lots of women are present.

Your current value + good enough social skills + access = all you need.

If you're that tall and banking that much yearly it's safe to say your SMV is already top notch, you could literally fuck escorts every weekend and not make a dent in your income.

You seem kinda high strung, loosen up and live a little. Start going to new places and enjoying your money. What good is making that much cash if you're scared to spend it?

Should I get as much plastic surgery as possible to make my face as masculine and symmetrical as possible?

This will help raise your SMV, but it comes with downsides and risk.

Possibly also hire a quality personal trainer to make professional gains?

Yes.

Another issue is that I have had some mental health issues in the past over losing loved ones to disease. It has given me some anxiety and depression.

You have the resources to get very good professional help with this. Make sure it's not the "just talk about your problems" type of bluepill nonsense.

Build your confidence primarily. Sounds like it's not that high. Learn to be positive, flirty, funny, forward and dominant with women.

Income: Bank.

Appearance:

• Height - Genetic lottery
• Physique - Lift for muscular (dominant) build, cardio for health.
• Style - Groom for cleanliness, delve into fashion or consult a personal stylist.

Social:

• Frame - Read the sidebar, develop your reality and frame (very weak as is).
• Interactions - Read How to Win Friends and Influence People, as well as books on comedy writing, story telling, and game (books in the sidebar cover a lot of this).

Plastic surgery won't address where you actually need improvement (frame and social skills) to "raise your chances". Anxiety and depression can be improved with frame and coping with as opposed to dwelling in (keep busy by improving). A lot of traditional Asians have a very analytical way of thinking and perceiving the world. Don't think so much, enjoy life and have fun. Try new things and seek productive hobbies, there may be a badass mountain climber, a passionate guitar player, a poetic writer or an adventurous deep sea fisher somewhere inside you. Live it out.

Thank me by depositing 50k into my paypal account.

Your annual income is what now?! Dude buy an Audi R8 and always wear a suit.

sidebar for /r/theredpill is a good thing. Also just look at how other men dress and how fit they are who are getting laid the most. Do that, some version / variation of that. Also have money.

Should I get as much plastic surgery as possible to make my face as masculine and symmetrical as possible?

Excessive symmetry is inhuman and unattractive. Never do that. No face is symmetric.

Your physical features are fine, unless you've left out some quasimodo-esque deformity. Your height and income put you in prime position, particularly for your age bracket. Start putting yourself out there.

6'4 and make 450,000 a year? That's high smv.

Sounds like you need confidence and game.

Why? Do you want the attention you receive to be genuine?

What's your favorite non-work/science related hobby?? If you don't have one, get one and invest in it.

I'm sure I'm not the only one who thinks of it as an elephant in the room, but what specifically is it that you do in medicine for a living? That's no laughable income.

Stop listening to these noobs saying "buy x".

You know as well as I do that is a Neverending upkeep.

If you want to raise your smv the most definitive ways are:

• body. Be swole.

• social proof. Get/improve to a more attractive social network. Hot guys, hot girls. All of whom should idolize you. Schedule the time to go out 3x a week. Make friends, trade favors. It's important and I'm sure you know the game.

You're in my bracket(ish) so make a friend or pay out. My social proof comes from my parties and my vip list, (state wide recognized vips, not anything larger, but it works, and I'm working on it) host. bring them to your playground, your castle Unlike most of the guys here, you can afford to do a good shindig twice a month. Build desire, approach within your power dynamic. Win.

This will help everything, depression, (more positive feedback, small successes build) and less anxiety (exposure therapy is still the go to). Do plastic only if this doesn't work after a good 6 months consistently.

Good luck and don't be gaudy. If you need personal tips I can help out. Been doing Sunday cocktails for about 2 years now.

I'm sure you could figure something out considering you make that much money.