Around the early 19th century, if people who had an injury to the lower part of their face went to hospital and could not get their face fixed, the surgeons amputated that part of their face. People would call a person with a missing jaw a 'Guppy' due to a resemblance to a cartoon character with the same name.
John fell down the stairs and broke his jaw badly and now he's got a Guppy from the doctors down at the General.
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