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When it comes to Farrah Abraham, it takes a lot to shock us at this point.

This is a woman, remember, who is no longer a Teen Mom cast member because she got heavily involved in the world of amateur adult entertainment on the Internet.

She also once threatened to murder a reporter.

And yet… Abraham has managed to pull off the impossible.

A new YouTube video released by the reality star has sparked fresh plastic surgery chatter among viewers, as well as questions about the D-Lister’s mental state in general.

In what way, shape and form?

Scroll down to find out.