Altered appearance refers to any changes in someone's physical appearance. It could be a temporary change, such as a new hairstyle or makeup, or a permanent one, like a tattoo or surgery. Synonyms for altered appearance include transformation, metamorphosis, modification, modification, renovation, update, and renovation. These words can be used to describe a variety of changes, such as weight loss, hair color change, or plastic surgery. Alteration in appearance can be positive or negative; it depends on the specific context. Whatever the case, it's important to remember that everyone has the right to present themselves in the way they choose.