He’s been given the nickname “Human Ken Doll,” but even after 50 surgeries and about $500,000, Rodrigo Alves doesn’t think the title is appropriate.

“I personally... don’t think I look like a doll,” the Brazilian-born Londoner said on British television talk show “This Morning.” “I just want to perfect myself and be the best person physically with the help of plastic surgery.”

But the procedures have taken a toll on his body. Alves told the show’s hosts that his nose jobs started to interfere with his ability to breathe, and despite reparative surgeries, “I still can’t breathe 100 percent.” And as he was interviewed, he revealed that his face was still swollen from a recent facelift, eyelift and necklift.

According to the Daily News, his other procedures have included silicone chest implants and fake abs.

“Most of us try to change ourselves somehow,” Alves said on the show, adding that he felt he was “born in the wrong body.” Instead of going to the gym, he went under the knife. “If I don’t like something, I just go for it.”

Read: Scissors Left in Surgery Patient for 18 Years

Between the extensive work Alves has had done and the effect on his breathing, people may wonder why doctors continue to operate on him. But a recent study concluded that plastic surgeons largely miss signs of mental illness in their patients, such as those of body dysmorphia, a disorder in which a person is obsessed with imagined or slight physical flaws. In the study, plastic surgeons only identified 5 percent of mentally ill patients seeking cosmetic surgery.

One of the study’s authors, Johns Hopkins University School of Medicine otolaryngology professor Dr. Lisa Ishii, said the surgeons might not spot mental illness because they want to believe they can help patients, but some argue that those with body dysmorphia are trying to deceive doctors in order to get what they want. The patients themselves might not see a problem.

As Alves told the hosts of “This Morning” when pushed about the reason behind his numerous plastic surgeries, “You can’t get addicted to plastic surgery; there’s no such thing.”

See also:

Are Plastic Surgeons Operating on Mentally Ill People?

Toddler Can Smile After Tongue Reduction Surgery