It features the tired and true “Before/After” creative linchpin. The “before” is Piers Morgan. The “after” is Justin Bieber.
Image may be NSFW.
Clik here to view.
(Before you unload on me, please remember that everybody calls everybody "cunts" in the UK.)
I don't believe this is an "official" advert for the UK's Court House Clinics (ad found here).
I've emailed them the ad for comment. Please check back.
UPDATE: The ad was an entry in last year's Chip Shop Awards, so, yes, not real.