The first thing I did while creating this photo was copy and paste Dr. Phil's mustache twice. Then I moved both copies up onto his eyebrows and made a unibrow out of them. after I blended them in correctly I copied and pasted his chin so that it looked like the top of his head. Next I took the burn tool and selected the mode shadow on 35% exposer and made it look like he had two black eyes and a bruised nose. After that I copied and pasted his chin two more times and made it look like he had a triple chin. After blending that in I selected the burn tool again and ran over the whole picture with it on 10% exposer. The I took the exposer all the way up to 100% and wend over his eyes so that the middle of his eye was black. Next I took the burn tool and I made it look like he was bleeding from his lip by using a very small brush setting. After that I selected all layers and went into liquify mode. Then I made his eyes bulge and made his mouth smaller. Then I was finished.
Before Photo
After Photo