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@M_V
Surely the reaction of other people is the only thing that defines the boundaries of where "extreme" becomes "too far", "fucked up" or "retarded".
Once you get to the stage where major facial scarification is the next step you are well past caring about how your appearance will affect your close relationships with people like your family, your employment prospects etc. You either have those things sorted out or can afford to/have decided to disregard them.
Nobody however can disregard the need to interact with people you have never met before on an almost daily basis in order to live your life. I could imagine that facial scarification on that level could make it hard to live a normal life because of these people's reaction to you.