Amanda Lepore was so beautiful before, what a waste.

Every single one of them look significantly BETTER in the “Before” pictures!!!!

12. omg …. such a weak souls. money doesnt make them get that appearance is nothing !

Wow. Like all the Jacksons before they mutilated their faces, LaToya was really cute.

Number 1 looks like a splicer from Bioshock.

What is up with that grey area around Joan van Ark's mouth/chin? Is that a beard, or dead flesh?

Here's what I just don't get about plastic surgery junkies…that shit HURTS. A LOT. If you're going to do something until you're addicted to it, why not pick something fun? That feels good and you can, you know…ENJOY? Like racing cars or collecting Pez dispensers or shooting heroin? What do these people say when they make the decision to have more and more surgery? “Hey! The last time I had my nose sliced open, chiseled and sanded then stitched back up was such a fuckin blast I wanna do it again! I think I'll have my tits cut open and stuffed full of silicone too! I'm so unique and edgy I can't fuckin believe it!” Uh, yeah. No thanks.

God damn it, ladies! Some of you were actually do-able before this shit, but now you need to wear a paper bag to go out in public! Stop destroying yourselves, and just accept yourselves for who you are! Also, being able to count your ribs from 10' away is NOT SEXY.

what about lil' kim?

I still think Dolly Parton is a babe.

Dolly Parton doesn't look bad.

I'm more interested in what Amanda Lepore looked like before becoming Amanda

“I will prescribe regimens for the good of my patients according to my ability and my judgment and never do harm to anyone.” When did they remove this from the hippocratic oath?

Let's all grow old gracefully.