He's called Pippa Middleton ugly, Adele fat and Lana del Rey fake, and now controversial Karl Lagerfeld has unleashed his acid tongue on pretty much anyone who has had cosmetic surgery in attempt to conceal the aging process.
"The worst are the lip operations," he rants to Zeit Online.
"They look like they flew through the windscreen during a car accident and were patched up badly afterwards."
The 88-year-old fashion designer - who is perhaps as famous for his cutting remarks as he is for his work at the helm of Chanel - added that he knows people he doesn't even "recognise" after they've undergone lip surgery.
"Nothing makes you look older than attempting to look young," he continues.