July 10, 2026 | Uncategorized
A national outlet recently asked me to give a technical read on Katie Miller’s transformation, and I agreed with my colleague’s read that the lower half of the face was where the change was. This is the longer version of that read. It is an educational assessment from photographs, not a diagnosis. I have not treated her, and a photo is not a consultation.
The Before
In her earlier pictures, we can see that Katie has pretty full cheeks and fullness in the lower face, making her face very rounded, giving her a tired appearance. There’s also a lack of definition of the jawline.
The After
I think a combination of things has occurred since then. She does look younger and more refreshed. Her face is more triangulated, and her jawline is more defined.
Why the Lower Face Tells the Story
The reason the lower face is where I look first is that it integrates almost everything happening above it. Volume that drops, skin that loosens, and weight that comes off all show up along the jawline and in the lower cheek. When a face goes from rounded and tired to triangulated and defined, the lower third is almost always where the work was done, whether that work was a procedure, a real weight change, or both.
What Could Explain the Change
I think she’s had a combination of botulinum toxin around the forehead, the glabella, and crow’s feet. I think she’s had some weight loss, probably aided by GLP-1, but the lower face change is rather significant.
I think this would only be achievable either with liposuction, with the aid of something like FaceTite for skin tightening and Morpheus8, both of which are radiofrequency treatments, and removal of the buccal fat pad.
If she truly has had weight loss, she may be keeping the upper cheek fullness with fillers or biostimulators like Sculptra. Or if she actually had the liposuction and buccal fat removal, she may have had some fat injections to the cheek and zygomatic area. I think it would be a little bit too far-fetched to think that she’s had a lower face lift, although it’s not out of the question.
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, which is the credential national outlets cited when they asked me to read this face.
Ready to Talk?
If your own before-and-after is what is on your mind, bring the photos. We will read your lower face the same careful way and build a plan that matches it.
For the surgeon’s editorial take on reading public figures, see the companion essay on drworldwide.com. For the lower-face treatment menu, 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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