The guy with the body modifications seemed nice, and I don't judge things like that, but the eyes freaked me out. Maybe you get used to it if you see it all the time. I think it would still be jarring though.
We have billboards for plastic surgeons here in Cincinnati. I've never had plastic surgery so I can't speak to how competent they are. But if I were looking to have surgery, I don't think I'd choose a surgeon based on a billboard.