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The general consensus (which I am inclined to agree with) is that her youthful look is the result of the skilled use of microderm, fillers and botox, not a face lift. And of cause genetics, a healthy diet/lifestyle and hard work.
I think her spokesperson denied that Demi ever went under the knife' or some such thing. But that has to be a lie. In the movie 'Blame it on Rio', which she did when she was starting out, she is topless in it. It is obvious that those are not the same breasts that she had in movies such as the one she played a Stripper and the Charlie's Angels one.
I saw her pictures on herinterest.com and she really looks amazing. According to that article she's like 50! I'd have never thought that. She looks pretty natural for me, many older women end up looking horrendous after operations but she seems to have found the right surgeon and to have had the right wishes... We all know what happens when someone wants something impossible, it usually ends in just looking funny.
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