When most people head to the medspa, their request is simple — "I still want to look like me." While we'll never know what goes on between a patient and their doctor, we're pretty sure that old adage was never uttered in any of these plastic surgery patients' consultations, these clients sporting major facelifts, nose jobs, and other measures so drastic, they're left unrecognizable.

From major rhinoplasties to expertly executed facelifts, here are 23 insane plastic surgery before and after photos.