Teen Mom star Farrah Abraham has been quite open about her plastic surgery procedures over the years. From a nose jobs to chin implants, her face is always evolving.

Most recently, the 24-year-old shared a selfie on Instagram that has fans accusing of her of getting even more work done!

“Leave your face alone. You’re starting to look even worse than I thought possible,” one user commented. “I didn’t even recognize you! Yikes,” another added.

Click through the gallery to see the shocking Instagram pic.