If you mean “It looks like [someone] had cosmetic surgery”, it’s not possible to know that just from someone’s appearance. Changes in a person’s face can come from many things, including:
- Natural aging or weight changes
- Makeup, lighting, filters, or photography angles
- Skincare routines or dental work
- Hairstyles or grooming changes
- Cosmetic treatments (such as fillers, Botox, or surgery)
Only the person themselves or a qualified medical professional involved in their care can confirm whether cosmetic surgery was done. It’s better to avoid assuming based only on how someone looks.