Stepping into the floodlit square in Tel Aviv to address crowds celebrating the release of Israeli hostages, Ivanka Trump, once again, looked every inch the polished First Daughter.
Yet this return to the political stage has sparked fresh scrutiny – not over her message, but her seemingly transformed appearance.
Online observers were quick to comment on her noticeably fuller features, claiming her face looked ‘puffier’ and ‘more sculpted’ than before.
Now, the Daily Mail has spoken to three plastic surgeons who all said this shift was likely due to recent cosmetic enhancements.
The doctors, who noted they had not examined Ivanka, 43, in person, said she appeared to have had dermal filler injected into her cheeks and lips – procedures that add volume and smoothness to the face by plumping soft tissue beneath the skin.
This, they said, could explain her more rounded contours.
As for the puffiness, they said it could be the result of the short-term swelling that often occurs after filler injections, particularly before the material has settled evenly beneath the skin. The settling process that can take around two weeks.
‘From the last time I saw her [in photos], I would say that her face does appear fuller than before,’ Dr Scott Miller, a facial plastic surgeon in San Diego, California, told the Daily Mail.
Ivanka Trump is shown above in January (left) while attending her father’s inauguration and in Israel on Friday (right). Plastic surgeons suggested she may have received fillers in her cheeks and lips since January
‘I am fairly confident that she had some filler, definitely in her lips, but also in her cheeks and the area below her eyes.’
Miller said it was possible that Ivanka’s public appearance happened before her fillers had fully settled.
Fillers – some of which use hyaluronic acid – are a highly popular cosmetic treatment in the US, with about six million injections carried out in 2024, according to the American Society of Plastic Surgeons (ASPS).
As people age, the face gradually loses volume and takes on a more drawn appearance. Filler is used to reverse this and make the face appear younger.
Surgeons also suggested her creaseless brow was a sign of Botox use. The toxin paralyzes facial muscles to reduce the visibility of skin wrinkles.
Botox and other neuromodulator injections are the most popular cosmetic touch-up in the US, with about 10million patients nationwide in 2024, according to the ASPS. These injections typically wear off within three to four months.
Ivanka was in Israel over the weekend and into Monday to support her husband Jared Kushner, who is Jewish and helped finalize the recent Israel-Hamas ceasefire deal.
On Monday, she flew on Air Force One to Sharm El-Sheikh, Egypt, where she watched her father Donald Trump, who had pushed Israel to the table, sign the agreement.
While it was a topic of conversation on the internet following the appearances, this was not the first time onlookers have made note of the First Daughter’s seemingly changing face – she is no stranger to plastic surgery rumors.
After appearing in November 2023 at her father’s $250 million fraud trial in New York City, her more angular features ignited speculation that she had received a rhinoplasty (nose job) and either filler or implants into her chin and jaw.
Doctors viewing photos of her at the time also said her lips were ‘clearly enhanced with filler.’
People who use filler need to get regular top-up injections because, depending on the type of filler used, they wear off after around six to 12 months – sometimes they can last for up to two years.
Ivanka Trump is shown above at her father’s inauguration in January (left) and in the Knesset in Israel (right). Surgeons told the Daily Mail her cheeks appeared fuller in the most recent image
Speculation over her appearance also swirled in September 2024, when her chin and jawline appeared ‘more defined than ever.’
‘Honestly, I think she always looks great, and that she maintains herself really well,’ Dr Normal Rowe, a plastic surgeon in New York City, told the Daily Mail when looking at Ivanka’s most recent pictures.
‘But, after viewing photos of her trip to Israel, I think she might have had some filler placed into her cheeks to plump them up. That is part of maintenance, however, and it is done tastefully, and not over the top.’
Ivanka has never publicly spoken about the rumors, and she has not responded to the Daily Mail’s repeated requests for comment.
Ivanka Trump is pictured above Monday with her husband Jared Kushner at the Gaza Peace Summit in Sharm el-Sheikh, Egypt
In an interview with the Daily Mail, Dr Masoud Saman, a double board certified facial plastic surgeon in New York City who specializes in facial rejuvenation, said ‘it is impossible to know with certainty’ whether someone has undergone any treatments or surgeries without their own disclosure.
‘However,’ he added, ‘from a professional standpoint, Ivanka Trump appears refreshed, balanced and well cared for.
‘In my opinion, her appearance suggests the possibility of carefully performed injectable fillers in the midface and lips, and perhaps fat transfer to maintain soft, youthful contours.
‘There also appears to be evidence of [Botox] use to smooth the forehead and… muscles around the mouth, which helps elevate the corners of the smile.’
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