How did Susan Dell’s appearance change so dramatically between 2008 and her appearance at the White House in 2026?
Higher-looking eyebrows, more open eyes, prominent cheekbones, tighter facial contours, and changes in lip volume have made her facial transformation a widely discussed topic.
Susan Dell, businesswoman, philanthropist, and wife of Dell Technologies founder Michael Dell, attracted particular attention following her White House appearance on October 7, 2026.
As comparisons of her older and newer photographs circulated online, plastic surgeons began examining the changes in her facial appearance.
Facelift surgery, Deep Plane Facelift, blepharoplasty, endoscopic brow lift, Botox, cheek fillers, and facial fat transfer are among the procedures discussed in relation to Susan Dell’s transformation.
What can these procedures actually change? Which facial areas stand out in Susan Dell’s before-and-after photographs? And how does Istanbul-based plastic surgeon Dr. Burak Pasinlioğlu approach similar facial rejuvenation procedures?
Before — 2008, Sesame Workshop Benefit Gala
After — October 7, 2026, White House Comparison of Susan Dell’s publicly available photographs from 2008 and 2026, highlighting the facial regions discussed by plastic surgeons.
1. Did Susan Dell Have a Facelift? Facial Contour and Jawline Analysis
One of the most frequently discussed procedures in Susan Dell’s transformation is facelift surgery.
Her jawline, cheek position, and the relatively tight appearance of her lower face have attracted particular attention.
Compared with photographs from 2008, images from 2025 and 2026 show differences in the appearance of her midface and jawline.
2008 — Face and jawline
2025 — Face and jawline
Beverly Hills plastic surgeon Dr. Michael Zarrabi compared Susan Dell’s photographs from 2008 and 2025, examining her cheek fullness, jawline definition, and neck appearance. He suggested that facelift surgery could explain some of these changes.
Similarly, Dr. Ross Perry discussed facelift surgery in relation to the elevated appearance of her midface and changes in her jawline.
How does facelift surgery change the face?
As we age, the supporting tissues of the face gradually change. The cheeks may descend, skin laxity increases, and the jawline can lose definition.
Modern facelift surgery aims to address these structural changes rather than simply pulling the skin tighter.
Depending on the patient’s anatomy, a facelift can:
- Reposition descended cheek tissues.
- Reduce the appearance of jowls.
- Improve lower facial contours.
- Enhance the transition between the face and neck.
- Create a more rested and balanced facial appearance.
Does Dr. Burak Pasinlioğlu Perform Facelift Surgery in Istanbul?
Yes. Dr. Burak Pasinlioğlu performs facelift and neck lift procedures in Istanbul, Turkey.
During surgical planning, he evaluates not only skin laxity but also deeper facial structures, cheek position, jawline definition, and neck anatomy.
The goal is not an excessively tightened appearance. It is to improve facial balance while preserving the patient’s natural features.
2. Did Susan Dell Have a Deep Plane Facelift?
Susan Dell’s transformation also provides an interesting opportunity to discuss the differences between traditional facelift techniques and Deep Plane Facelift surgery.
Changes in the midface, cheek position, and jawline are particularly relevant when evaluating deeper facial rejuvenation techniques.
2013 — Midface appearance
2026 — Midface appearance
What is a Deep Plane Facelift?
A Deep Plane Facelift is a facial rejuvenation technique that focuses on repositioning deeper supporting tissues rather than relying primarily on skin tightening.
It can be considered for patients with significant facial tissue descent, particularly around the cheeks and lower face.
The procedure may help:
- Reposition descended midface tissues.
- Improve cheek and jawline contours.
- Address certain deep facial folds.
- Reduce the appearance of jowling.
- Preserve natural facial transitions.
The published plastic surgeon assessments of Susan Dell have focused mainly on the possibility of facelift surgery. Deep Plane Facelift is one of the surgical techniques capable of addressing similar anatomical concerns.
Deep Plane Facelift in Istanbul — Dr. Burak Pasinlioğlu
Dr. Burak Pasinlioğlu performs Deep Plane Facelift surgery in Istanbul.
His approach considers skin quality, facial anatomy, tissue descent, and the patient’s individual aesthetic goals.
In patients who also have facial volume loss, fat transfer may be considered as an additional component of facial rejuvenation planning.
3. Did Susan Dell Have Eyelid Surgery? Blepharoplasty Analysis
One of the most noticeable areas in Susan Dell’s before-and-after photographs is the eye region.
When comparing photographs from the 2000s with her more recent appearances, her upper eyelids appear more open, while the relationship between her eyebrows and eyes looks different.
Before — 2006
After — 2026
Plastic surgeon Dr. Michael Zarrabi suggested that changes in the upper eyelid area could be associated with upper blepharoplasty, potentially involving the removal of excess skin and adjustment of fatty tissue.
Dr. Ross Perry also discussed upper eyelid surgery as a possible explanation for the more open appearance of her eyes. The List+1
How does upper blepharoplasty work?
Upper blepharoplasty is a surgical procedure that removes excess upper eyelid skin and, when necessary, adjusts selected fatty tissue.
The procedure can help create a more rested appearance and improve the definition of the upper eyelid.
However, not every change around the eyes comes from eyelid surgery alone.
Elevating the eyebrows can also change how much upper eyelid skin is visible. This is why blepharoplasty and brow lift surgery are sometimes considered together.
Could Susan Dell Have Had Lower Eyelid Surgery?
Plastic surgeon Dr. Gerard Lambe also included upper and lower eyelid surgery among the possible procedures discussed in relation to her appearance. Medical Daily UK
Lower blepharoplasty addresses different concerns, including under-eye bags and selected lower eyelid skin changes.
Dr. Burak Pasinlioğlu performs both upper and lower blepharoplasty in Istanbul, Turkey.
His surgical planning considers eyelid anatomy, skin quality, brow position, and the overall balance of the eye region.
4. Did Susan Dell Have a Brow Lift? Endoscopic Brow Lift Analysis
Another striking feature in Susan Dell’s recent photographs is the position of her eyebrows.
The outer portions of her eyebrows appear higher in some images, contributing to a more open-looking eye area.
2008 — Eyebrows and forehead
2026 — Eyebrows and forehead
Dr. Michael Zarrabi discussed a possible brow lift after comparing Susan Dell’s 2008 and 2025 photographs, noting changes in the apparent position of her eyebrows. The List
What is an endoscopic brow lift?
An endoscopic brow lift uses small incisions, typically hidden within the hair-bearing scalp, to reposition selected forehead and eyebrow tissues.
The procedure may be considered for:
- Drooping eyebrows.
- Heaviness around the upper eye area.
- Age-related changes in brow position.
- Sagging around the outer eyebrows.
Temporal Lift vs. Endoscopic Brow Lift
A temporal lift focuses primarily on the outer eyebrows and temple region.
An endoscopic brow lift can address a broader area of the forehead and eyebrows.
Dr. Burak Pasinlioğlu performs both endoscopic brow lift and temporal lift procedures in Istanbul.
The choice depends on the patient’s brow anatomy, forehead structure, and the degree of correction required.
5. Did Susan Dell Have Botox? Forehead and Eye Area Analysis
Another feature attracting attention is the smoother appearance of Susan Dell’s forehead in certain photographs.
When considered alongside her eyebrow position and eye area, Botox has also entered the discussion.
Before — 2004
After — 2025
Dr. Michael Zarrabi discussed Botox as a possible explanation for changes in the appearance of the lines around her eyes.
Dr. Ross Perry also explained how botulinum toxin treatments could affect forehead and frown lines. The List+1
How does Botox affect facial expressions?
Botulinum toxin temporarily reduces the activity of selected facial muscles.
It is commonly used to soften:
- Horizontal forehead lines.
- Vertical frown lines.
- Crow’s feet around the eyes.
The dose and injection placement are important because excessive muscle relaxation can affect eyebrow position and facial expression.
Botox does not perform the same function as facelift surgery, brow lifting, or blepharoplasty.
Each treatment addresses a different anatomical concern.
6. Did Susan Dell Have Cheek Fillers? Midface and Cheekbone Analysis
One of the most discussed aspects of Susan Dell’s appearance is the prominence of her cheekbones and the distribution of volume across her midface.
Comparisons of older and newer photographs show differences in cheek fullness and overall facial proportions.
2008 — Cheeks and cheekbones
2026 — Cheeks and cheekbones
Plastic surgeon Dr. Gerard Lambe discussed facial fillers, particularly in the cheeks and midface, as one possible explanation for the increased appearance of facial volume. Medical Daily UK
What do cheek fillers do?
As the face ages, changes occur in the distribution of facial fat and the structures supporting the skin.
Some patients develop volume loss around the cheeks, temples, and midface.
Hyaluronic acid fillers can add volume to selected areas and improve certain facial contours.
However, adding more volume does not automatically create a more youthful or balanced appearance.
What is Pillow Face?
Pillow Face is a term used to describe excessive facial fullness and a loss of natural facial definition, sometimes associated with overfilling.
Repeated or excessive filler treatments can alter facial proportions, particularly around the cheeks and midface.
The possibility of overfilling was also raised in expert discussions about Susan Dell’s appearance. Hindustan Times
The important clinical distinction is whether a patient needs additional volume or whether descended facial tissues would be better addressed through surgical repositioning.
7. Did Susan Dell Have Facial Fat Transfer?
Another procedure discussed in relation to Susan Dell’s facial volume is facial fat transfer, also known as facial fat grafting.
Dr. Gerard Lambe included fat transfer among the possible facial rejuvenation treatments when evaluating her appearance.
2013 — Facial volume
2026 — Facial volume
How does facial fat transfer work?
Facial fat transfer involves harvesting fat from another area of the patient’s body, preparing it, and carefully injecting it into selected facial regions.
It may be used to restore volume in the cheeks, temples, and other areas affected by age-related volume loss.
Unlike hyaluronic acid fillers, fat grafting uses the patient’s own tissue. However, some transferred fat may be reabsorbed, and long-term volume retention varies.
Facial Fat Transfer in Istanbul — Dr. Burak Pasinlioğlu
Dr. Burak Pasinlioğlu performs facial fat grafting as part of facial contouring and rejuvenation.
For patients experiencing both facial sagging and volume loss, fat transfer may be considered alongside procedures such as Deep Plane Facelift.
The appropriate combination depends on the patient’s anatomy and treatment goals.
8. Did Susan Dell Have Lip Fillers? Lip Augmentation Analysis
Susan Dell’s lip contour and its relationship with the surrounding facial features have also attracted attention in before-and-after comparisons.
Dr. Gerard Lambe included lip augmentation among the possible cosmetic procedures discussed in his assessment. Medical Daily UK
Before — 2008
After — 2026
How can lip fillers change facial appearance?
Hyaluronic acid fillers can be used to increase lip volume, enhance the lip border, and modify certain lip proportions.
However, lip aesthetics involve more than volume alone.
The relationship between the upper lip, lower lip, nose, and chin is important when planning facial rejuvenation.
Lip Lift vs. Lip Fillers
A surgical Lip Lift shortens the distance between the base of the nose and the upper lip.
Lip fillers, on the other hand, primarily increase volume.
These procedures address different anatomical concerns.
Dr. Burak Pasinlioğlu performs surgical Lip Lift procedures in Istanbul.
In Susan Dell’s case, the expert discussion has focused on possible lip augmentation. Lip Lift is a separate surgical option that may be considered for different aesthetic goals.
9. Susan Dell Before and After: How Her Face Changed from 2006 to 2026
One of the most useful ways to understand Susan Dell’s changing appearance is to compare photographs from different stages of her public life.
2006 — New York
Earlier photographs provide a starting point for examining her eyebrow position, eyelids, and facial contours.
2008 — Sesame Workshop Benefit Gala
This period was used in Dr. Michael Zarrabi’s comparison with her 2025 appearance, particularly regarding the eyebrows, eyelids, and facial contours. The List
2013 — Dell Medical School
Photographs from this period offer another reference point for evaluating the appearance of her midface, cheeks, and eye area.
2025 — White House
Her more open-looking eyes, elevated-looking eyebrows, and tighter facial contours prompted discussion of possible cosmetic procedures. Hindustan Times
2026 — Oval Office
Her eye area, cheek volume, eyebrow position, and jawline attracted renewed attention, leading to further discussions about facial rejuvenation treatments. Medical Daily UK
When these photographs are viewed together, the discussion extends beyond wrinkles alone.
Eyebrow position, eyelid appearance, cheek volume, and jawline definition all contribute to the overall appearance of the face.
This is why facial rejuvenation planning often requires an assessment of the face as a whole.
10. Susan Dell and Mar-a-Lago Face: Why Is This Aesthetic Being Discussed?
Another reason Susan Dell’s appearance became a major online topic is the expression Mar-a-Lago Face.
This social media term is commonly associated with prominent cheekbones, fuller lips, tight-looking facial contours, and relatively limited facial movement.
It is a cultural description of an aesthetic appearance, not a medical diagnosis. IBTimes UK
Which cosmetic procedures are associated with Mar-a-Lago Face?
The appearance is often discussed in relation to:
- Facelift and neck lift surgery.
- Endoscopic brow lift.
- Upper and lower blepharoplasty.
- Cheek and midface fillers.
- Botox treatments.
- Lip augmentation.
- Facial fat grafting.
However, these procedures do not automatically produce the same appearance.
Results depend on facial anatomy, treatment technique, the amount of volume added, and how different procedures are combined.
Why are natural facial proportions important?
Facial rejuvenation is not simply about removing every wrinkle or adding more volume.
The position of the eyebrows, the openness of the eyes, cheek projection, jawline definition, and skin quality must be evaluated together.
For example, fillers may be appropriate for a patient with facial volume loss, while surgical lifting may be more suitable for another patient with significant tissue descent.
Similarly, a brow lift and blepharoplasty may complement each other, but they are not automatically necessary together.
The discussion surrounding Susan Dell illustrates an important principle of aesthetic surgery: more treatment does not necessarily mean a more balanced result.
11. Facial Rejuvenation in Istanbul — Dr. Burak Pasinlioğlu
Many of the procedures discussed in relation to Susan Dell’s facial transformation are established techniques in modern facial plastic surgery.
Dr. Burak Pasinlioğlu, an EBOPRAS-certified plastic surgeon based in Istanbul, Turkey, performs a range of facial rejuvenation procedures.
His surgical practice includes Deep Plane Facelift, neck lift, upper and lower blepharoplasty, endoscopic brow lift, temporal lift, Lip Lift, and facial fat transfer.
Which procedure addresses which concern?
| Procedure | Primary purpose |
|---|---|
| Deep Plane Facelift | Repositioning descended deeper facial tissues |
| Neck lift | Improving neck laxity and contour |
| Upper blepharoplasty | Removing excess upper eyelid skin |
| Lower blepharoplasty | Addressing under-eye bags and selected skin concerns |
| Endoscopic brow lift | Repositioning eyebrows and forehead tissues |
| Temporal lift | Lifting the outer eyebrow and temple region |
| Facial fat transfer | Restoring volume to selected facial areas |
| Lip Lift | Shortening the distance between the nose and upper lip |
Dr. Burak Pasinlioğlu’s approach considers facial anatomy, age-related changes, and the patient’s individual expectations.
The objective is not simply to tighten the skin but to achieve a balanced result that respects the natural structure of the face.
12. Frequently Asked Questions About Susan Dell Plastic Surgery
Did Susan Dell have plastic surgery?
Plastic surgeons reviewing Susan Dell’s photographs from 2008, 2025, and 2026 discussed facelift surgery, eyelid surgery, brow lifting, Botox, facial fillers, and fat transfer as possible explanations for changes in her appearance. The List+1
Did Susan Dell have a facelift?
Dr. Michael Zarrabi and Dr. Ross Perry discussed facelift surgery in relation to the appearance of her cheeks and jawline.
Did Susan Dell have a Deep Plane Facelift?
The expert commentary primarily discusses facelift surgery. Deep Plane Facelift is one technique that can address similar facial tissue changes.
Did Susan Dell have eyelid surgery?
Dr. Zarrabi suggested upper blepharoplasty as a possible explanation for the appearance of her upper eyelids.
Did Susan Dell have a brow lift?
Dr. Zarrabi discussed brow lifting after observing differences in her eyebrow position.
Has Susan Dell had Botox?
Changes in her forehead and eye area led experts to discuss Botox as a possible treatment.
Did Susan Dell get cheek fillers?
Her fuller-looking midface and cheek contours prompted discussion of hyaluronic acid fillers.
Did Susan Dell have facial fat transfer?
Dr. Gerard Lambe included facial fat grafting among the procedures that could explain changes in facial volume.
Did Susan Dell get lip fillers?
Lip augmentation was among the treatments discussed in expert commentary about her appearance.
Why does Susan Dell look different?
Changes in eyebrow position, eyelid appearance, facial volume, and jawline contours have attracted attention. Natural aging, weight changes, makeup, lighting, and photographic conditions can also influence these comparisons.
What is Mar-a-Lago Face?
Mar-a-Lago Face is a social media term associated with prominent cheekbones, fuller lips, tight-looking facial contours, and reduced facial movement.
Who performs Deep Plane Facelift surgery in Istanbul, Turkey?
Dr. Burak Pasinlioğlu performs Deep Plane Facelift and neck lift surgery in Istanbul.
Does Dr. Burak Pasinlioğlu perform eyelid and brow lift surgery?
Yes. His surgical practice includes upper and lower blepharoplasty, endoscopic brow lift, and temporal lift.
Research Sources and Before-and-After Photo Galleries
- The List — Dr. Michael Zarrabi’s Susan Dell Plastic Surgery Analysis
- Medical Daily — Dr. Ross Perry and Dr. Gerard Lambe’s Assessments
- Hindustan Times — Susan Dell Facelift, Fillers and Eyelid Surgery Analysis
- Hollywood Life — Susan Dell 2013 and 2026 Before-and-After Gallery
- OK! Magazine — Susan Dell Transformation Photo Timeline
- IBTimes UK — Susan Dell and the Mar-a-Lago Face Discussion