There is no denying the difference in Bristol Palin’s face. Clearly she has lost weight, but it seems more than just that. The twenty year old daughter of happy rifle-toting Sarah Palin looks remarkably different.

One plastic surgeon seems to think she has had some work done. New Jersey board certified plastic surgeon Dr. Brian Glatt, who has not worked on Bristol Palin says:

“Bristol appears to have lost a significant amount of weight, which is responsible for some of  the differences in her look.  In addition, she seems to have had some liposuction of her neck area under her chin which has produced a much more defined jawline and lower facial area.  She may have also had a chin implant to better define this area.  Her lower lip appears much more full and it is likely she had injections of Juvederm into her lower lip.”

I would have thought given she’s only 20 that her skin would bounce back and she wouldn’t need liposuction.  Don’t get me wrong I think Bristol looks gorgeous after the weight loss and possible plastic surgery enhancements. However she is ONLY 21 years old. To start doing things at that age is scary to me. What on earth will someone like that be doing in their 40′s and 50′s?