She had her nose and chin modified a few years (five maybe?) after they got married. She uses botox on her 11s and forehead. She's always had an impressive bosom no matter how thin she gets --but because it doesn't seem to change size (whether pregnant, post-partum or just normal) I bet they've been "enhanced." She doesn't seem to be in Mozah territory, but maybe she'll keep going eventually.
She wore padded bras
. She wouldn't have an impressive bosom without them, just look at the pictures of her wearing the multi color dress recently.