The Duchess of Alba in 1956. She's always had full lips, which she has exaggerated with lip injections.
The Duchess of Alba is one of the premier grandees of the Kingdom of Spain, holding the Guinness record for most titles of a single person in the world. Her full name is Maria del Rosario Cayetana Fitz-James Stuart y Silva 18th Duchess of Alba, and she is a descendant of King James II of England and Scotland, through the Dukes of Berwick. She was born in 1926 and was a great beauty in her youth. The duchess is currently 85 years old. What she is perhaps best known for outside of Spain is her flamboyant personality and numerous surgical procedures. Even the casual observer can spot the tell-tale signs of fat injections to the face, multiple rhinoplasties, and botox. The following are the likely procedures that Her Excellency the Duchess of Alba has likely undergone: (1) face lift, (2) brow lift, (3) multiple rhinoplasties, (4) collagen or silicone lip injections, (5) fat injections to the face, (6) botox. Because the duchess seems rather thin to begin with, it is unlikely that she has had face and neck liposuction, which is a rather common procedure for people that are plastic surgery addicted. The fat injections in particular (in addition to the botox) have assisted in eliminating the lines and wrinkles from her face, but rather than gaining the appearance of a healthy young beauty, she looks like a card carrying member of the undead or Jocelyn Wildenstein (a famous plastic surgery addict in New York).
The Duchess of Alba on the right with the Duchess of Cornwall in Spain last week