She’s famously known as the woman with the “world’s largest lips”—but here’s how she looked before all the surgeries.

Despite repeated warnings from doctors that her obsession with injections could be dangerous—even fatal—the social media model remains undeterred.

In addition to her facial modifications, Ivanova has also undergone breast augmentation surgery, increasing her size from a 75C to a 75E.

As extreme as that may sound, at least Ivanova didn’t experience a surgical disaster like one model who claimed her butt implants actually fell out.

Chelsea Robinson, for example, has reportedly spent over $140,000 on cosmetic procedures.

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