The changing face of Kim Kardashian after 20 years of fame: How the star has shrugged off plastic surgery rumours and credits bizarre skin treatments for her age-defying looks

Kim Kardashian rang in her 46th birthday with a family night out in Beverly Hills this week, showing off her age-defying looks in a minidress. She's now one of the most recognisable faces on the planet, but two decades ago Kim was working as a closet organiser for her friend Paris Hilton, with her only taste of fame being the occasional cameo in paparazzi photos of her blonde heiress pal.Citing the 'entrepreneurial' spirit she inherited from her attorney father, Kim orchestrated her family's fame trajectory with the launch of their reality show in 2007, which aired months after the leak of her sex tape with the singer Ray J. On the early episodes of Keeping Up With The Kardashians, Kim was presented to fans as the spoiled middle child who lived in Juicy Couture tracksuits and flip flops whilst occasionally showing up for a shift at the sisters' LA clothing store DASH.She's no stranger to switching up her look, bleaching and colouring her hair at a drop of a hat, or when there's a Met Ball on the horizon. But whilst she's been open about her style evolution, Kim has always denied rumours she's had multiple plastic surgeries. Kim Kardashian rang in her 46th birthday with a family night out in Beverly Hills this week, showing off her age-defying looks in a minidressShe's now one of the most recognisable faces on the planet, but two decades ago Kim was working as a closet organiser for her friend Paris Hilton; Pictured in 2006 Over the past 20 years she has only ever admitted to having regular Botox and undergoing breast augmentation surgery.The star's figure has also been a subject of debate after her family's famous curves were credited with the rise in popularity for Brazilian butt lift procedures. Kim has long denied getting butt implants to give her famous backside a boost. She was so adamant about shutting down the rumours that she had an X-ray done in season 6 of Keeping Up With The Kardashians to prove her critics wrong. Although she has long been accused of having a nose job, Kim has always insisted it's her glam squad's make-up expertise which hides a 'small bump' on her nose, which she has often called 'my biggest insecurity'.International plastic surgeon Dr Fadi Hamadani, who has not treated Kim, says 'there's no denying that her face has changed considerably' over the past 20 years, but says that many of the changes could be due to small, and carefully considered tweakments rather than major surgery.'Her features appear much more sculpted and refined, particularly around her cheeks, lips and lower face,' Dr Hamadani notes. 'Although she's denied having facial fillers, I wouldn't be surprised if she's had some carefully placed filler over the years.' Her only taste of fame was the occasional cameo in paparazzi photos of her blonde heiress pal before the launch of the family reality show in 2007'Her cheeks appear fuller, her lips more defined, and her chin and jawline look noticeably more contoured.' Kim's claim that she favours a natural approach to beauty has undoubtedly helped the success of her businesses – her $4billion shapewear company Skims and her skincare brand SKKN by Kim, both of which offer quick fixes to enhance and sculpt without the help of a surgeon.While Kim is constantly denying plastic surgery accusations, the mother of four has been open about some of the cosmetic procedures she has tried.She has spoken about her penchant for Morpheus8, which uses radiofrequency microneedling to lift and tighten the skin as well as improve skin firmness and texture. She famously got Botox for the first time on season 5 of Keeping Up With The Kardashians, and she also admitted to lasering the baby hairs off her forehead to re-sculpt her hairline.Speaking of laser treatments, Kim openly experimented with having stretchmarks zapped off her cleavage in an episode of Keeping Up With The Kardashians.Dr Hamadani says Kim's skin is 'particularly impressive at 46'. She's no stranger to switching up her look, but whilst she's been open about her style evolution, Kim has always denied rumours she's had multiple plastic surgeries; Pictured left in 2007 and right in 2026 Kim has spoken about her penchant for Morpheus8, which uses radiofrequency microneedling to lift and tighten the skin as well as improve skin firmness and texture'Her complexion looks incredibly smooth, with very few visible lines, and I suspect she's had regular skin treatments alongside Botox to maintain that youthful appearance,' the surgeon suggests.In December 2022, the reality star told Gwyneth Paltrow that she has tried multiple non-invasive procedures while on the hunt for perfect skin.'I thought that I have learned so much in my journey and I have had the best facialists, the best aesthetician, tried every laser,' she explained.'I've tried everything … and I wanted to bottle that up and take everything that I've learned and work with my favorite aesthetician... and develop products that are the next level.'In 2025, Kim and her younger sister Khloe enjoyed a pilgrimage to South Korea where they tried out the latest in advanced regenerative and anti-ageing treatments.She shared photos at the time of her platelet treatment, which uses a patient's own platelets to promote skin rejuvenation and hair growth. A small portion of blood is drawn and spun down to concentrate the platelets before being injected into the desired areas of the skin. In 2025, Kim and her youngest sister Khloe enjoyed a pilgrimage to South Korea where they tried out the latest in advanced regenerative and anti-ageing treatments In December 2022, the reality star told Gwyneth Paltrow that she has tried multiple non-invasive procedures while on the hunt for perfect skin Whilst Kim has kept shtum about going under the knife, her family have recently sparked a trend for openly sharing their surgical procedures.Kim's little sister Kylie Jenner, 29, delighted fans when she shared her 'boob job recipe', responding to a fan comment with the exact details on her breast enlargement procedure, including the size, placement and doctor.'445 cc, moderate profile, half under the muscle!!!!!. Silicone!!! Garth Fisher!!! Hope this helps lol,' she told the fan.Kylie and Kim's mum Kris Jenner, 70, meanwhile, proudly flaunted the results of her 2025 facelift, which was rumoured to cost her $100,000.'I want to be the best version of myself, and that makes me happy,' she told Vogue at the time. 'Just because you get older, it doesn't mean you should give up on yourself.'If you feel comfortable in your skin and you want to age gracefully – meaning you don't want to do anything – then don't do anything. But for me, this is aging gracefully. It's my version.'The reality star, pictured left in 2006 and right in 2019, has admitted to lasering the baby hairs off her forehead to re-sculpt her hairline Kim, pictured in 2023, openly experimented with having stretchmarks zapped off her cleavage in another episode of Keeping Up With the KardashiansIt wasn't the first time Kris went under the knife. In 2011 she documented her first facelift on an episode of Keeping Up With The Kardashians, and in 2018 she let the cameras in when she got her earlobes reduced. Last year Khloe, 42, published a list of her facial procedures which include a nose job, skin lightening, Botox, filler, collagen injections and regular 'salmon sperm facials'.'I want people to know, not that anyone thinks this is all natural, but it's not,' Khloe told fans. 'There is maintenance involved. I've been in the public eye since I was 21.'And so age has something to do with it, weight loss for sure. But yes, I've had enhancements. I've had my nose done. I love any sort of laser or injectable.' Khloe admitted that Kim shares her love of a non-invasive procedure, spilling that the sisters 'go down these rabbit holes'.'I'll see like it can be a stretch mark laser commercial, and when I send it to her, I'm like, "Do you think this is real?" and we're like, "We need that".'READ MORE The day Kim's controlling first husband stormed in with nude photos of her sister and called them both 'wh***s'...and the real story behind THAT sex tape - as told in a compelling new biography of the world's most famous woman