Changes are quite noticeable. Lips has became bigger and puffy: it seems like filler or gel has been injected. Filler - a substance that dissolves over time, gel on the contrary - will stay for life. I rarely see a good rusults from such type of operations. And this is not an exception: changes are too drastic.
Policeman: "So what did the guy look like?" Witness: "Ummmm....kind of a cross between Kevin Federline and Steven Dorff. With shorter hair and a goatee. Oh, and I just remembered something else..."