[Dixie Yooper]

It's hard to tell when Bev is joking or serious ever since her plastic surgeon put that permanent smile on her face by pulling the corners of her mouth out to her cheeks.

[oh8eleven]

Will the real Joker please stand up?

[philman_36]

...that permanent smile on her face by pulling the corners of her mouth out to her cheeks.
Your reply reminded me of a rather crude joke...

A woman had been going to her plastic surgeon for years for touch ups on her face lift. After several years and several operations she showed up one day at the doctor's office and said there was a problem with a new growth of facial hair which formed a goatee on her chin.
"Dear lady", said the doctor, "your skin has been pulled tight so many times that it's not a goatee you've grown, that's your pubic hair."