Am I the only person to think that the woman is obviously and grotesquely altered and therefore find it far more comical than offensive? Looks like she's standing in front of a carnival mirror.
I find it hard to believe that the intent of the creator was to depict an actual, attractive female.
If I actually met such a person, the first thought through my mind would be "serious thyroid problem." And do my best to make sure they didn't tip over.