Rodrigo Alves is known as “the human Ken doll” because of his surreal, plastic-like resemblance to Barbie’s beau. But he’s now in danger of losing his carefully crafted nose after dozens of surgeries left him with infections and scar tissue so extensive he can barely breathe.

Alves’ 72 procedures have cost more than $750,000, and doctors have warned him that his surgical obsession may also cost him his health if he doesn’t stop undergoing additional cosmetic procedures, he told the Daily Mail.