If the “beautiful people” feel ugly, what hope is there for the rest of us? Bad self image lead the once lovely Joan Van Ark to plastic surgery, and she now looks like Michael Jackson. She had no need to get a pinched nose. And then gladly appear for photos.

Lily Allen felt short, fat and ugly, and heart murmur diagnosis spurred her to lose nearly 20 pounds in just over a month. Gotta admit, though, that she’s looking good.

And then of course, there are the stars who deny having had any work done. Watch the video below for some surprises. The really unfortunate thing is that the prevailing trend is for pinched noses, which look so unnatural. And once it’s done, they can’t go back. Many of these women actually looked much better before surgery.