Brazilian Rodrigo Alves, who resembled a Kena doll after the operation, is back at the doctor's desk.
According to the Daily Mail, this time she tried to look like Barbie, but the result was not to her liking.
Alves, whose operation was unsuccessful, had a hole in his jaw.
She said in January that she was a transgender woman and used the name Cesika.
Alves has undergone more than 70 plastic surgeries in the past 16 years.
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