Kristi Noem Mocked for Allegedly Going Overboard on Plastic Surgery
Kristi Noem in 2018 and Kristi Noem in 2024.
Emailed to TNBD
Kristi Noem has sparked renewed speculation about possible cosmetic procedures after her appearance on Jesse Watters Primetime on Fox News, where some viewers commented that her face looked slightly “off,” according to a report from RadarOnline.
Noem, 54, who currently serves as Secretary of the United States Department of Homeland Security, has previously been the subject of rumors suggesting she may have used Botox or facial fillers. During her January 6 appearance discussing ICE operations in Minneapolis, her facial features drew attention online, with some viewers saying her face appeared fuller than in past appearances.
Noem has never publicly confirmed whether she has undergone any cosmetic procedures. However, comparisons circulating online contrast her current look with photos from when she was first elected to Congress in 2010. Some viewers pointed to her smooth skin and defined eyebrows during the interview. Social media users shared screenshots of the segment and debated whether cosmetic treatments could explain the changes.

Plastic surgeons have also commented on how her appearance may have evolved over time. Cosmetic surgeon Giselle Prado-Wright previously told RadarOnline in July 2025 that Noem’s appearance “appears to show noticeable volume,” particularly in the cheeks and lips, suggesting the possible use of fillers.
“The volume is noticeable enough that even someone without a trained eye can tell something’s different,” Prado-Wright said, adding that fuller facial features can sometimes create what practitioners call a “pillow face” effect when large amounts of filler are used.
Meanwhile, plastic surgeon Norman Rowe told the Daily Mail that interest in certain cosmetic procedures has grown during the second presidential term of Donald Trump. According to Rowe, some clients have pointed to public figures like Noem as an example of a look they admire.

Another cosmetic surgeon, Anita Kulkarni, told Axios that she has also seen a rise in requests for fuller lips and more dramatic facial enhancements. Kulkarni said patients rarely request a specific “Mar-a-Lago look” directly. Instead, she becomes concerned when someone who already has visible filler asks for significantly more.
“I have to say: ‘I cannot put any more in there safely,’” Kulkarni explained, adding that excessive filler can make facial features appear exaggerated. She noted that layering filler too quickly can also lead to uneven texture or visible lumps—outcomes she avoids in her practice.
“My aesthetic doesn’t necessarily have to be your aesthetic for me to give you what you want,” she said. “But when you go outside the range of what a normal human face should look like, that’s not a place I’m willing to go.”

Adding to the discussion, Board-certified plastic surgeon Jimmy Sung from Tribeca Aesthetics offered a detailed professional opinion on Noem’s possible cosmetic procedures. Since becoming Secretary of Homeland Security under President Donald Trump, Noem has drawn attention for her youthful appearance, which some have described as an example of the “Mar-a-Lago face” trend among conservative women.
Analyzing before-and-after photos, Sung suggested that Noem may have undergone hair extensions, Botox, facial fillers, and a fat-dissolving treatment under her chin. He also noted she could have used threads to lift her face temporarily and may have bleached her teeth. According to Sung, Botox may have been applied to the forehead, glabella, crow’s feet, and neck, while fillers were possibly used in the cheeks, nasolabial folds, lips, chin, and jawline. The fat-dissolving agent Kybella was mentioned as a potential treatment for her neck.

Describing how she may have achieved her smooth, youthful skin, Sung explained that thread lifts—barbed sutures inserted under the skin to create a temporary lift—are a common, affordable option for patients seeking non-permanent enhancement.
Estimating the cost of maintaining such treatments, Sung suggested that Noem could spend around $10,000 a year on cosmetic procedures, including Botox, fillers, and thread lifts, based on typical procedure costs and frequency.