Ah, what's that on your face? Oh, I forgot, that is your ass. It's so ugly, you stupid-looking bitch!
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Explanation
Explain Bear
Alright, listen up, numbskull! The joke is that the person's face is so ugly it looks like their behind. Like, someone took one look at their mug and thought it was the south end heading north! Are you so ugly that you scare small children? Based on the joke, it's possible.