July 08, 2026 | Injectables
One of the more interesting exercises in my field is reading a face from photographs. Influencers make it easier, because so much of their work gets documented, especially when they are brand ambassadors for a med spa and likely receive a lot of their care in exchange for the publicity. So let me walk through how I read one of these faces, treatment by treatment, the way I would think it through in my own head.
I want to be clear up front. This is an educational read, not a diagnosis. I have not treated this person, and a photograph is not a consultation.
The Things We Can Be Fairly Sure About
We know for a fact that she’s had neurotoxin to the upper face, which includes the forehead, crow’s feet, and glabella, in hopes of making her eyes more open. She’s had Sculptra to the temples to fill in her temporal recession, hollowness, or temporal wasting. She’s also had Renuva to the temples, also for volume. Renuva is a fat graft. It’s a donor fat graft that is processed, and it encourages ingrowth of fat in that area.
She also had hyaluronic acid filler in the lips, which it seems she did not like and then had dissolved, even though I still see some hints of more volume than she previously had. There is some filler still there that wasn’t completely removed. She had a Botox lip flip. She’s also had PDGF for the under eyes, which is platelet-derived growth factor, which encourages collagen ingrowth.
She’s had various lasers and radiofrequency, including Tixel, a thermal resurfacing device, Moxi, a resurfacing laser, and Agnes RF, which is very similar to Morpheus8. Those are the things we know she’s had.
What the Weight Change Is Telling Me
Judging by her earlier photos and her photos now, she’s definitely lost too much weight. I’m not sure if she’s been using a GLP-1, but this has caused her to lose a lot of the good fat in the face, which is the reason she had to fix the temporal wasting.
You can notice in the current pictures that she has a lot less lower cheek fat and a lot more angulated jawline. This could all be from weight loss. Now she has a lot more anterior malar volume, so she may have had some Sculptra and Renuva in the upper cheek area. I’m sure she maintains the skin also with broadband light, like BBL. And I think she’s probably had neurotoxin also to the masseters and lower face, which you can see from her slimmer jawline. She probably has good skin quality maintenance with medical-grade topicals, so tretinoin, vitamin C, but this has never been disclosed.
Why This Matters for You
The reason I share this is that it shows how layered this work really is. There is rarely one thing happening. A face like this stacks many small treatments over years, and possibly one well-chosen surgical step. When a patient asks me to look like a photo, my job is to figure out which of those layers actually applies to their own face, and in what order.
The Change That Hints at Real Surgery
Now, what calls my attention the most, and I’m not sure she’s had any surgical work, and she is rather young, under forty, is that her brow position is significantly different from her earlier days. It’s pulled up and laterally, which actually opens her eyes.
Although a certain degree of this can be achieved with botulinum toxin, the degree she’s showing looks more pronounced. She may have had an endoscopic brow lift, the ponytail type, which can help with brow shaping, and it’s very effective and looks very natural. Other than that, I don’t see any other signs of actual surgical work. You can see that her nose is unchanged. Although she may have had a rhinoplasty in her early life, you can see that it is off the midline and could actually use improvements. It does look unchanged from her previous photos to now.
Why Choose Dr. Agullo
Double board-certified, American Board of Plastic Surgery and American Board of Surgery. American College of Surgeons Fellow. Mayo Clinic plastic surgery fellowship. Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center Paul L. Foster School of Medicine. Affiliate Professor at UTEP. Castle Connolly Top Doctor for thirteen consecutive years. Editorial Board Member at Aesthetic Plastic Surgery. Reading a face accurately is the first skill, and building a plan that matches your face is the second.
Ready to Talk?
If there is a look you are chasing, bring the photos. We will read your own face the same careful way, and build a plan that is yours, not someone else’s.
For the surgeon’s editorial take on why public-figure reads are tricky, see the companion essay on drworldwide.com. For the treatment menu behind this kind of work, see the version on swplasticsurgery.com.
Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. #StayBeautiful.
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