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Well, Amanda LePore is a special case. She was not born a woman (and may "technically" still be male--I don't remember) and her exaggerated features are meant to be a type of artistic statement, IIRC.
Jocelyn, on the other hand, is seriously mentally ill--hacking her face away in an attempt to keep her lion-loving husband. She thinks she's purdy.
Ewwwww!!!! Amanda LePore's lips look like the Bugs Bunny caricature of Carmen Miranda (the lady with the fruit on her head).
Jocelyn is just plain frightening.
Eddie, what happened?!?!