Well, my older brother really looked ugly when he was using meth. I mean, his face really changed. He looked 10 years older. And mind you, before he abused meth, he had this "baby face." I'm the younger sibling but people around us always assumed that he was younger than me. But because of meth abuse, his features changed. It's a good thing that he was able to recover. He also recovered his good looks. Although, his speech is now a bit slurred. I sometimes have a hard time understanding what he's saying. That's one permanent effect of meth on him.