If you’ve spent more than five minutes on TikTok in the last few years, you know Alix Earle. She’s basically the internet’s best friend. But unlike a lot of influencers who act like they just "woke up like this" or drink a lot of water to get a new face, Alix has been pretty jarringly honest.
People are obsessed with the Alix Earle before and after plastic surgery transition because it’s not just about vanity. It’s about the fact that she actually talks about it.
Honestly, the transformation is wild when you look at high school photos of her versus her current "it girl" Miami aesthetic. It’s not just aging. It’s a mix of strategic "tweakments," one major surgery she loves, and one dental decision she deeply regrets.
The 2022 Breast Augmentation That Started It All
Most creators hide their surgical recovery. Alix? She made it a "Get Ready With Me" (GRWM) staple.
Back in 2022, she decided to get a breast augmentation. She went to Dr. David Hidalgo in New York City. She’s been very specific about the details: 275cc moderate profile saline implants, placed under the muscle.
Why saline? She mentioned in her "Hot Mess" podcast that she liked the idea of them being slightly safer if a leak happened, even though many surgeons (and her own commenters) argued that silicone feels more natural.
Why she did it
She’d wanted them since she was a teenager. Simple as that. She saved up her own money from early brand deals and her "childhood savings" to pay for it.
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She even threw a "booby party" with cupcakes to celebrate the one-year anniversary. It’s that level of "no gatekeeping" that made her go viral. Before the surgery, she had a very athletic, lean frame. After? She has that classic bombshell silhouette that fits the Miami vibe she’s built her brand around.
The "Accutane Nose Job" vs. Rhinoplasty Rumors
This is where things get kinda spicy. If you look at photos of Alix from 2018, her nose looks different. It’s wider. It has more volume.
Fans have been convinced for years that she had a secret rhinoplasty. Alix, however, has denied this repeatedly.
"I genuinely think I got a nose job in my sleep," she joked in a 2023 TikTok while showing puberty photos.
She credits the change to two things:
- The "Accutane Nose": Alix famously struggled with cystic acne and went on Accutane. There’s a weird medical phenomenon where Accutane shrinks the sebaceous glands in the nose, making it appear thinner and more "snatched."
- Weight loss and aging: Your face thins out as you lose "baby fat" in your early 20s.
While some plastic surgeons on YouTube have reacted to her photos claiming it looks like a surgical refinement, Alix sticks to her story. Given how honest she was about her boobs, most fans actually believe her.
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The Veneer Reveal: Her Biggest Regret
In July 2025, Alix got really emotional on TikTok. She revealed something she’d been hiding: veneers.
She didn't just get them; she hated them immediately.
She originally went to the dentist wanting just two veneers to fix some "short" teeth that she used to fix with composite bonding. But, in a classic "upsell" move, the dentist convinced her to get 10.
The emotional toll
She was literally in tears in the video, saying it was "scary" and that she felt she’d ruined her natural teeth for no reason. She even showed herself using a nail file to smooth down a chip in one of them—which, don't do that at home, obviously.
It was a rare moment where an influencer said: "I messed up, don't follow my lead." It humanized her. It showed that the Alix Earle before and after plastic surgery journey isn't always a straight line to perfection.
The Filler and Botox Maintenance
You don't get the "Alix Earle look" without some needles. She’s been very open about:
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- Lip Filler: She’s had it for years. Recently, though, she’s been letting it dissolve for a more "natural" look, though she admits she's tempted to go back because she finds herself over-lining her lips like crazy.
- Botox: She gets it in her forehead and around her eyes.
- Chin/Jaw Filler: While not explicitly "confirmed" in a dedicated video, experts often point to her much more defined jawline as a sign of filler or masseter Botox to slim the face.
What We Can Learn From Alix's Journey
If you're looking at Alix Earle and thinking about booking a consultation, there are some real-world takeaways here.
Research is everything. Alix went to a high-end, "pricier" surgeon for her breast augmentation and loved the result. She went to a dentist for veneers on a whim and regretted it. The lesson? Don't let a professional talk you into "more" than you wanted.
Cosmetic work is a lifetime commitment. Once you get veneers, you're in them for life. Once you get implants, you might need a revision in 10-15 years.
Be honest with yourself about why you're doing it. Alix did her surgery for herself, not for a guy or a trend. That seems to be why she’s so happy with her breast augmentation today.
Your Next Steps
- Consult multiple experts: If you're considering a procedure, don't just go to the first person you see on Instagram.
- Prioritize skin health: Before jumping to surgery, remember that Alix's biggest facial change arguably came from clearing her skin and using high-quality medical skincare.
- Set a budget for maintenance: Fillers and Botox aren't "one and done." They require a financial commitment every 4 to 9 months.
Alix Earle's transparency has changed the way we talk about beauty standards. She proved that you can "fix" things you're insecure about without losing the personality that made people like you in the first place.