Kristi Noem has not publicly confirmed having any cosmetic surgery, but many outlets have highlighted clear changes in her appearance over the years, often using “before and after” photo comparisons. Commentators generally frame these changes as a mix of aging, styling, and likely cosmetic procedures, while emphasizing that nothing has been officially acknowledged by her.

Reported facial changes

Articles that analyze photos of Noem from around 2011–2015 compared with recent images in 2024–2025 describe her skin as noticeably smoother, with fewer visible lines on her forehead and around the eyes, and with tighter overall facial contours. These pieces often point to much fuller lips and rounder, more filled-out cheeks in recent years, suggesting the possible use of dermal fillers along with changes in makeup techniques.

Speculated procedures

Plastic surgeons quoted in media coverage, working only from photos and not from treating her personally, have speculated that Noem may have had Botox to smooth the forehead and crow’s feet, fillers in the lips and cheeks to restore or add volume, and some degree of facelift or neck lift to tighten the jawline and neck. Other commentaries add possible rhinoplasty, eyelid surgery, and laser skin treatments to explain a more refined nose, more open-looking eyes, and more even skin tone.

Limitations and privacy

All of these “before and after” discussions rely on photographic comparison and outside speculation; there is no medical confirmation, and Noem has not detailed any procedures herself. Because of that, any list of surgeries or treatments should be treated as commentary and rumor rather than verified fact, and her personal medical choices remain private unless she chooses to disclose them.