What has happend to Victoria Beckham face?
2012, Daily MailView PDF
Maybe it's the sleepless nights many new mums endure, but Victoria Beckham didn't look her usual groomed, polished self In New York this week. Victoria, 37, was gaunt and tired, with jutting cheekbones and circles under her eyes - a far cry from the chubby-cheeked young girl we first met in the Spice Girls 16 years ago. So what's happened to this most famous of faces since? We asked two experts ...
The plastic surgeon
Angelica Kavouni, of Harley Street's Cosmetic Solutions clinic, says:
"When my patients come in for a consultation, I always ask them to bring in photos of themselves when they were younger - this, as you would expect, is the look I'm most often trying to recreate.
So I can't help but think Victoria didn't like herself very much during her youth, because the way she looks now is almost unrecognisable from her teenage self.
The round, full face of 20 years ago has given way to a far more sculpted "heroin chic" look.
But while some women go to surgeons to try to recreate this angular shape, my ten years' experience in the industry tells me these changes in Victoria have primarily been caused by her age and her lifestyle rather than going under the knife.
She has prominent cheekbones, but they look far more defined because her buccal fat area - between her cheekbones and jaw - is very hollow. This is caused by a combination of age and keeping her weight so low.
We all lose fat in these areas as we get older, because it degenerates with age.
But by appearing almost malnourished, Victoria is accelerating this process.
I treat about 40 patients a month and this is a trend I've been seeing a lot in high-profile female patients over the past five or six years. By staying so skinny, they lose a lot of volume in their face, which is why fillers have become so popular to make the face look curvier, plumper and more youthful.
It doesn't look like Victoria has any filler in her cheeks, under her eyes or in the temple areas as these places look quite hollow and sunken.
This look doesn't work well in the real as you have to wear a lot of make-up and highlight your face well to disguise shadows so as not to appear gaunt - you can see dark circles below her eyes where the fat has gone."
Her lips also look untouched at the moment, which I'm pleased about as plumped lips - as she has occasionally had in the past - would look unnatural in her slender face.
However, looking at the condition or her skin, I do think that Victoria has had Botox and skin treatments. She has no crow's feet or lines around her eyes, as you would expect in a woman in her late 30s, so she may have had some Botox here to combat them.
During pregnancy - and she has had four - there are a lot of hormonal influences on the skin, and when you put on weight and lose it again there is some damage to the skin's elasticity. As her skin is so tight and smooth, it's likely she has had one or more treatments to effectively iron the skin's surface, such as the Fraxel laser or Intense Pulsed Light (IPL).
These leave the skin glowing and taut, for a cost of £2,000 upwards for a course every six months to a year. The only cosmetic surgery I think she has had is a tip rhinoplasty - an operation under general anaesthetic to reshape the end of her nose.
Looking at old pictures of Victoria, her nose used to have a round, bulbous, upturned tip, whereas it looks a lot more elegant and streamlined now.
It's a popular procedure which costs from £4,500-£5,000, and if it has been done, whoever has performed the surgery has done an extremely good job.