A cosmetic doctor says Susan Dell's face looks noticeably tighter and tauter than in earlier photographs, with her eyes appearing more open than usual. Dr Ross Perry, medical director of Cosmedics skin clinics, based his view on images alone.

Perry said a full facelift was one possibility, pointing to what he described as a lifted appearance around the jawline and mid-face.

Dell joined her husband, Michael Dell, and President Donald Trump at the White House on 7 October to announce that Trump Accounts were now active. Yet her face prompted questions about cosmetic treatments. Online users labelled the look 'Mar-a-Lago face'.

He also raised upper blepharoplasty, which removes excess skin from the upper eyelids and can make the eyes appear more open.

Dr Gerard Lambe, a cosmetic surgeon and founder of the Reflect Clinic, said that from public images alone, Dell may have had facial rejuvenation work. He listed fillers, fat transfer, eyelid surgery, a facelift and lip augmentation as possibilities.

Non-Surgical Options

Perry explained that non-surgical options could also account for the look. Botox can smooth forehead and frown lines, while fillers in the cheeks or under-eye area can restore lost volume and create a more youthful contour.

Dr Samer Jaber, a New York City dermatologist, described the so-called 'Mar-a-Lago face' aesthetic as featuring full lips, high cheekbones, a strong jawline and minimal facial movement. Dr Troy Pittman, a Washington, DC, plastic surgeon, said the look can involve substantial amounts of filler alongside Botox and Dysport.

Read more

Risks of Overdoing Injectables

Perry cautioned, however, that overusing injectables can backfire. Too much Botox around the eyes or too much filler in the mid-face can contribute to a wide-eyed or startled appearance.

Lambe said overfilling could potentially account for some apparent changes if filler had been used. It can create a 'pillow face' appearance, with excessive fullness, less defined natural contours and, in some cases, filler migration.

Dr Kelly Bolden, a Washington, DC, plastic surgeon, described 'perception blindness' in some patients. A first round of filler may look good, but patients can grow used to it and ask for more without noticing the gradual change.

Why Photos Can Mislead

Dell has not publicly confirmed any cosmetic procedure, and none of the doctors quoted has examined her. Their comments are informed opinion based on photographs, and Perry said any discussion without a consultation remains purely speculative.

Perry emphasised that photographs alone cannot establish whether someone has had cosmetic work. Lighting, make-up, camera angles, weight loss or even temporary swelling can significantly alter how a person looks in photos.

Costs and How Long Results Last

Perry estimated that a full facelift could cost up to $40,000 (£30,233), while upper eyelid surgery could run about $8,000 (£6,047). Botox typically costs $300 (£227) to $800 (£605) per session, and dermal fillers range from $600 (£453) to $1,500 (£1,134).

Lambe estimated that an extensive course of treatments could total $50,000 (£37,789) to $100,000 (£75,579) or more over time. Actual costs depend on the combination of surgical and non-surgical treatments used, as well as the clinic and location.

Bolden added that cosmetic results are not necessarily permanent. Dermal fillers are generally temporary, while a facelift can last several years, although ageing continues and some patients may later consider further treatment.

The doctors' assessments remain speculative. Without a direct examination or confirmation from Dell, the procedures discussed and their possible costs cannot be established.

Read more