Piana is the personification of everything that's wrong w/ bb'ing today - synthol, implants, drugs, freakin' mascara, hair pieces, IOW extreme male vanity to the point of insanity.  Unless he gets intense psycho-therapy, which isn't going to happen, his future is not gong to be bright.  At some point a man has to face the reality of his life, when Piana does that its gong to be catastrohic iMO.  He's nothing more than a sign of the sick, way too socially liberal times we live in.  Nothing but total & complete anarchy will fix things.