Today everyone is asking, what has Bristol Palin done to her face? She looked remarkably different when she stepped out at a teen pregnancy prevention event this week in New York City.
Just five months ago, Bristol's face was significantly rounder and fuller.
New York cosmetic surgeon Dr. Sharon Giese says there's no way the change in Bristol's face comes from simple weight loss.
"She got much thinner in the lower face," says Dr. Giese. "Her face has changed from an oval to a heart shape so that tells me that she's had some fat removed from her lower face."
And that's not all Dr. Giese thinks Bristol had done.
"I think she's had a Botox brow lift done. She's had a little bit of plumping in her lips, teeth whitening, some veneers, buckle fat pad removal, and some liposuction of her chin and neck fat," she says.
Bristol's new look is getting a lot of attention. "What Happened to Bristol Palin's Face?" is the headline on Us Weekly magazine's website. London's Daily Mail is asking, "Just what has Bristol done to her face?"
Bristol can afford cosmetic surgery. The 20-year-old single mother raked in a reported $345,000 on Dancing with the Stars last year, and another $330,000 for personal appearances.
Some are even comparing Bristol's new look to Kim Kardashian.
So what does our expert think about Bristol's new look?
"I think she looks fabulous. I think she still looks her age, she looks appropriate but she really changed from a pudgy teen mom to a hot mom now!" Dr. Giese says.