A billboard advertising a plastic surgeon in Michigan has started a controversy about self-worth and body image.

The Ann Arbor Plastic Surgery ad says, “Friends don’t let friends muffin top," which refers to the popular term used to describe extra hanging body fat or love handles.

One user on Facebook wrote:

I have a really lovely sense of humor, but your signs just suck, majorly. Please do not think that affirmations from women saying "Hey, I laughed!" should mean you glaze over the other women-and more importantly, young girls- that read your opportunistic, money-hungry corrupt nonsense signs and get sincerely hurt, or get it in their heads that there is something fundamentally wrong with their bodies as is that requires them, by default, changing it.

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