Doctors Explain: What's Wrong With Angelina's Face

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Angelina Jolie was photographed in Venice, Italy Wednesday afternoon with
two protruding muscles where her chin meets her neck.

The photo was not altered, as Jolie, 34, sported the same facial protrusion at the
BAFTA awards in February 2009 (see bottom photo, at left). consulted a number of plastic surgeons to find out what’s
really going on because, as Beverly Hills-based Dr. Gabriel Chiu tells Us, “it’s
unlikely that the banding can occur from strong facial muscles alone.”

Dr. Elie Levine, who has not treated Jolie, says that it appears she’s “received Botox to her face and likely her neck”
because she shows “no wrinkles along the sides of her eyes (the crow’s feet) despite that very large smile… and her
forehead is smooth.”

Botox paralyzes muscles, causing one to “recruit other
muscles that are not regularly used to twisting the neck and
smiling widely” to compensate, he adds.

Dr. Chiu believes Jolie may have had a “minimally invasive
procedure” — such as Gore-Tex injected into her face — to lift
and suspend “the tissues in her neck, jaw line and lower

Dr. Brian Glatt concurs. “Angelina appears to have had a
procedure done to tighten her lower face, neck, and jaw line
such as a mini or lower facelift,” he says.

If she had a mini-facelift, Dr. Andrew Jacano says the skin was not lifted far enough back.

“Think of it like making your bed,” he says. “If you don’t pull the sheets tight enough, they’ll appear wrinkled and
bunched at the corners.”

But Dr. Lyle M. Back believes Jolie has not received any cosmetic surgery. He credits the protrusion to Jolie’s “very
thinned out skin — tented and pulled over the edge of the angle of her jaw” as the result of her having less than 10
percent body fat.

“Body builders love to employ a variety of techniques to get their skin looking this thin so that the judges can actually
see the striations and fiber lines in their muscles through their skin,” he adds.