Somebody has to be a real fucking cock-lock for me to be purposely rude or hurtful to them. I certainly don't approve of anyone making fun of shit people can't help, like irl looks, voice, etc.
Still, since it has already been done, I'll laugh my goddamn ass off about it if it was funny. Would I approve myself to make a drunken rant video with me shirtless? Nah, I always highly regret getting drunk as shit and being a jackass, even though I don't tend to do anything very silly. Plus, nobody needs to see a long-haired hungry skellington prancing drunkenly and singing angsty music.
I find it best to personally disapprove of these sorts of things, but refrain from commenting on that. The person that posted it doesn't care about disapproval; in fact, he more than likely gets a perverse pleasure from people being upset/mad/disgusted/etc. It is also likely that the peanut gallery doesn't care all that much what you think of it. Just shake your head in front of your monitor, take a long sip of your Dew (tm)
and try to laugh about it.