Is Karoline Leavitt Adopting the ‘Mar-A-Lago Face’ Trend? Here’s Our Plastic Surgeon’s Opinion

While Karoline Leavitt’s transformation raises eyebrows, plastic surgeon Dr. Michael Niccole is hesitant to place her fully in the “Mar-a-Lago face” category, unlike Kimberly Guilfoyle. According to the plastic surgeon, the White House Press Secretary’s enhancements are more subtle and nowhere near as extreme as those of other Trump-world women. “Her facial features look refined, not exaggerated,” he says.

What stands out most, Dr. Niccole observes in our exclusive conversation, is her skin quality. Karoline Leavitt’s latest make-up-free looks are noticeably more vibrant, with even-toned skin that contrasts sharply with earlier, more blotchy photos. He explains that her transformation may not be surgical at all, but the result of consistent professional treatments like microneedling, light laser work, or regular chemical peels. This level of aesthetic upkeep suggests a skilled dermatologist or aesthetician is behind the scenes.

Still, even with the upgrades, some untouched areas leave room for what Dr. Niccole calls “subtle refinements.” If she were his patient, he says he’d suggest a stem cell-enriched fat transfer to the lower eyelids to correct the lingering hollowness visible in both photos. He also points to the absence of a defined tarsal fold (the crease between eyelid and brow) and suggests that upper eyelid surgery could, down the line, give her eyes more definition. “These would be subtle refinements to enhance her already beautiful features,” he says.