Simon Cowell has openly admitted to using non-surgical cosmetic treatments such as Botox and facial fillers over the years, but there is no confirmed evidence of a full traditional facelift. Notably, around 2018, he underwent a non-surgical Silhouette Soft Lift, a procedure that uses threads to lift and smooth the skin without incisions. He has also made significant lifestyle changes like adopting a vegan diet and avoiding red meat, which, combined with these treatments, have contributed to a younger, healthier appearance. His face looks smoother with less visible wrinkles, likely due to a combination of Botox, fillers, skin care treatments, and some possible minor surgical enhancements like eyelid surgery and a brow lift. Simon has been candid about overusing Botox in the past and has since moved toward a more natural look, emphasizing skin care rather than excessive cosmetic procedures. His transformation shows a blend of clinical treatments and lifestyle adjustments rather than drastic plastic surgery.