A middle aged woman goes to a plastic surgeon....

And says, "Look, doc, I'm feeling a little saggy and wrinkly in the face, but I live out in the country and I don't want to have to keep coming back to see you, so give me something that lasts."

The doctor says, "well you're in luck. There's a new product on the market called 'The Knob.' Basically, we install this small knob on the back of you head and if you ever want a little skin tightening, you just give it a quarter turn."

The woman thinks this sounds great so she has the surgery.

She shows up to the plastic surgeon's office 15 years later and says, "Hey, doc, this thing has been great but lately I've been noticing these bags under my eyes that won't go away."

The surgeon says, "Yes that is a complication we didn't anticipate. Those aren't just bags under your eyes--those are your breasts."

She sighs and says, "well I guess that explains the goatee."

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