Kristi Noem's before and after pictures show a significant transformation in her appearance over the years, particularly related to plastic surgery and changes in makeup style. Earlier photos, such as from 2015 and before her time as U.S. Secretary of Homeland Security, show a more natural, less polished look. Her face was less tight, her lips were smaller and natural without fillers, her eyelids were more relaxed, and her makeup was lighter and more natural. Her cheeks appeared sculpted with prominent cheekbones, and her jawline was softer and less sharp, which gave her a more approachable and humble vibe. In contrast, recent pictures highlight a dramatic change consistent with what is known as the "Mar-a-Lago" plastic surgery trend seen in Donald Trump's inner circle. This transformation includes fuller lips due to fillers, a tighter and more polished facial skin likely from a facelift or mini facelift, a brow lift, eyelid surgery, skin resurfacing, and the use of more intense makeup styles with darker eye makeup, heavier contouring, and strong eyebrows. Her face now has a sharper jawline, more pronounced cheeks with added volume, and an overall more glamorous and less natural look. This transformation is debated by critics and supporters, with some seeing it as an improvement and others viewing it as overly artificial. Overall, Kristi Noem's before-and-after changes illustrate a shift from a natural, expressive appearance to a more refined, surgically enhanced presence aligned with the aesthetic favored in Trump's circle.