Although it's not explicitly expressed in the PnP, I've always thought of ATTR as being a combination of raw, physical appearance, and one's personality / how they carry themselves.
I mean, if Dwayne, the socially awkward guy working in the mailroom gets a bodysculpt to look like Charlie Sheen, he's still gonna be Dwayne, socially awkward mailroom guy; he just now happens to look like Charlie Sheen.
I mean, if Dwayne, the socially awkward guy working in the mailroom gets a bodysculpt to look like Charlie Sheen, he's still gonna be Dwayne, socially awkward mailroom guy; he just now happens to look like Charlie Sheen.