Plastic surgeons have weighed in on Ivanka Trump's noticeably fuller and more sculpted appearance during her recent public appearances in Israel and Egypt. Experts, who have not examined her in person, suggest that she may have undergone cosmetic enhancements such as dermal fillers in her cheeks and lips, as well as Botox to smooth her brow. These procedures are common and can cause temporary swelling, which may explain her 'puffier' look. Ivanka has faced similar speculation in the past regarding her changing facial features, but she has not publicly addressed the rumors or responded to requests for comment. Despite the ongoing discussion, surgeons note that her enhancements appear to be tastefully done and contribute to a refreshed, youthful look.