Billy Joel's daughter and friend of the show looks different.

[Brokenbad]

Downs syndrome Alexa

[FlatTimmy]

Before and after:

In addition to the surgery, it's clear from these two pictures that she is helped by a layer of makeup.

[harlock]

In addition to the surgery, it's clear from these two pictures that she is helped by a layer of makeup.

profesionoe makeup

[isabella]

It seems that she had slot more done than her nose. Her entire face has been restructured......whoever the surgeon is, he did a good job. It isn't extreme like alot of other women who have work. she could have gone easier on her lips and mouth....but her jaw looks much better.
But, she shouldn't do anything else.

[Lou Cypher]

It seems that she had slot more done than her nose. Her entire face has been restructured......whoever the surgeon is, he did a good job. It isn't extreme like alot of other women who have work. she could have gone easier on her lips and mouth....but her jaw looks much better.
But, she shouldn't do anything else.

Yeah, that's what I was thinking, but I couldn't quite figure out what she did - she just looks a lot better. That's the sign of good work!

[Nurse Remulak]

I know I am going against the grain but DAYM. Personally I like the BEFORE Alexa. She looks like a fucking wax clone-face now. And it's a shame when cute girls get full-facial plastic surgery at 27! That means they are BAT-SHIT crazy inside.

[Just Me]

It really does look like she got the bags removed beneath her eyes too. Whatever she did, besides shaving that beak down, made a tremendous difference as she looks fantastic.

[stripes]

good gawd, she looks like a plastic robot now, wtf is wrong with you people, that face looks like a cyborg now. a very harsh inhuman kardashian evil cousin type.

[broccolirabe]

[qb123]

I think she looks good and add to that her being the sole inheritor of the Billy Joel fortune she is a fucking keeper.

[No Mercy]

If I had to choose, definitely the "after" Alexa, no question.

"Fake attractive" beats "not attractive"

[peterfonda]

She's had an eye lift too. Sad that such a young woman feels the need to go under the knife like this. It's not going to matter anyway - she will never be pretty no matter what she does. She'll end up like another unattractive Hollywood rich kid, Tori Spelling - she'll eventually find some shlub to marry her for the money, have some babies and that will be that.

[Vashier]

She sings like christie and looks like billy. Talk about losing at the DNA Olympics.

[Rodney21a]

3000 Years of inbreeding is a hard nut to crack even for Christi Brinkley. Note to self never procreate with the "tribe". With the predominance of plastic surgery among the women it's like a box of chocolates, you never know what you're gonna get.

[landfill]

I think she looks good both ways. I don't quite understand the mentality of women though...how far does it keep going. I know men are soon to follow with all the surgery. ..but who are we anymore. Its fucking crazy. We are animals that hate ourselves. Oh well. Its a new world where you will be looked down on because you are just a regular chimp.

[knu3421]

[MutteringJohn]

Benjy sperm despository.

[tfresca]

The problem is if you do that kinda shit to your face in your early 20s you never fucking stop. Every year or two it will be more surgery till you look like Courtney Cox at 35. It's fucking nuts. Never raise your fucking kids in Hollywood/Hamptons.

[killallposers]

Thank you, that's what I thought. Maybe she just tweaked it a bit recently.

that was no nose job. that was the removal of a dead parasitic twin!

[joyceface]

Looks like a nose job and eye lift. But she was interesting before. Kind of unique looking. She is pretty now. I get why she would want to be more mainstream looking given her mom. She had some talent singing as I recall.