This shirt NEVER fails to cause a HUGE commotion wherever worn! People literally Freak out at this horiffic vision and ask if it is a real person. The sad truth is YES this was a REAL person with a SEVERE birth defect. It was a woman who spent all of her life in a mental home - this photo of her was taken in the 1950's. So the next time you're staring in the mirror fretting about some zit or your big nose just think of Henritta Hackface and count your blessings! I think even Henrietta (R.I.P.) would of found this shirt funny - it looks like she has a good sense of humor - just look at that smile (is it a smile?) it lights up the whole room! Ha!