Alves arrived in New Delhi on April 30, where he had a consultation with surgeons before returning for a pre-surgery appointment. It was at this follow-up appointment that the doctors broke the news: Alves’ eyes are too small to safely hold the artificial iris that would have been implanted during surgery.

“The doctors said my eye chamber is too shallow. I’m very upset and I have been crying a lot,” the 33-year-old told Daily Mail. “It is frustrating because I was really looking forward to it, but I appreciate that the doctors have to take safety very seriously.”

Although doctors refused to perform this particular surgery, Alves (who currently wears colored contacts on a regular basis) still hopes to permanently change his eye color in the future. Instead of undergoing the iris transplant, he’ll try for a laser procedure that would turn his naturally brown irises blue. In the meantime, though, Alves — who was diagnosed with body dysmorphic disorder in 2015 — says he will undergo another nose job (his ninth) to fix the breathing problems he developed as the result of previous surgeries.

Original, 4/20/17: Since embarking on a journey toward his idea of physical perfection as a teen, 33-year-old Rodrigo Alves — or, as he’s perhaps better known, the “Human Ken Doll” — has undergone 57 cosmetic operations. But he’s not done yet: According to the Daily Mail, Alves is in the process of planning his 58th procedure, a surgery to permanently change his eye color.

Currently, Alves, whose irises are naturally dark brown, switches up his eye color on a regular basis with fancy colored contact lenses.

“I wear hand painted colored lenses made by an artist here in the USA,” he explained to Daily Mail. “Each pair is $500 and I have 14 different colors.”

Now, though, Alves is looking for a more lasting change: He’s planning on flying to Delhi, India, next month to get cosmetic iris implants, a permanent eye color-changing procedure in which new silicone “irises” will be implanted in front of his existing ones. Alves’ color of choice? A new shade called “light icy gray.”

The 33-year-old, who has been able to afford his operations thanks to an inheritance from his grandparents, will pay a hefty price for the new procedure. The surgery (which some doctors in the United States and United Kingdom do perform, but not for purely cosmetic reasons) will cost Alves more than $10,000. The procedure also comes at another high price: potential health risks, which include permanent eye damage and vision loss, according to the American Academy of Ophthalmology.

To Alves, however, the procedure is worth it — money, health risks, and all.

“I’m tired of wearing colored lenses,” he told the Daily Mail. “The eye surgeon will implant the colored implant in front of my natural iris making it icy gray forever.”

In 2015, Alves was diagnosed with body dysmorphic disorder (BDD), a mental disorder in which a person becomes obsessed with the perceived “flaws” in his or her appearance. Attempting to “correct” physical flaws with plastic surgery is considered a symptom of the disorder, according to Mayo Clinic.