I think this one was inspired by a cartoon I drew when I was in high school, of a guy with the same towering phallic craniual bulge you see in the right panel, with a Klibanesque caption like "Ted was quite a successful lettuce salesman, in spite of his malformed head." The idea of brain augmentation surgery just popped into my head--it seems like a natural, one of those cartoon ideas that's been floating around in the air, waiting for someone to snag it. And I'll just take this opportunity to publicly state my opposition to breast augmentation surgery for cosmetic reasons. Ladies, please--we like them because they're your breasts, not because they look like the breasts on TV. For the love of God, leave them be.
If you ask me, the best part of this cartoon is the girl in the background. "What a goober."