um really?I can only underline the 'improval', but find it amazing that seemingly noone in the media gives two cents about the medical circumstances responsible for that...and not talking about baby fat here. certain facial features that dont happen to grow bigger/smaller between 19 and 21. but she had the perfect advisors and some talent there!
I can't see something that screams plastic surgery. She has lost weight since then and maybe the brows are different but nothing more

Smiling pictures, the second one is from the VSFS afterparty
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