She must really hate herself to have so much done so young.
Coming from a gay man, this might mean nothing at all, but I think she looks completely sexy and naturally hot before. The after pic she looks like a mini Joan Rivers. And she's 23? What will she look like at only 33... then 43?! Because once you start, it needs upkeep, this isn't like something that gets 'fixed' it's ongoing.
Do ANY straight guys honestly prefer the after picture, I can't believe they do. I imagine in pictures they might say she looks hot, but I bet in 3D and upclose she looks freakish, and probably scary without make-up too.