A decade ago, Karina Smirnoff went to plastic surgeon Dr. Nicholas Nikolov to fix her twice-broken nose, both for breathing and aesthetic purposes. “It kind of still looks a little bit like me,” said the Dancing With the Stars pro afterwards, “but the better, upgraded version.”

Was that the last time the Ukrainian-born dancer, now 39, had work done? The experts think not, though her changes aren’t over-the-top. “Karina appears to have made some subtle and well-balanced alterations to her face,” says plastic surgeon Dr. Danielle DeLuca-Pytell, who, like the other docs quoted in this article, hasn’t treated Karina. Cosmetic dermatologist Dr. Tabasum Mir sees indicators of Botox and chemical peels. “She looks amazing,” she says. “Nothing she did is too severe.” And they’re all wowed by Karina’s skin.

karina smirnoff then & now getty images

Karina in 2006 (left) vs. 2017. (Photo Credit: Getty Images)

“Her skin quality has actually improved over the years,” says dermatologist Dr. Gary Goldenberg. “Her work has been conservative but beautiful,” adds plastic surgeon Dr. Ryan Neinstein. “She has a youthful summer glow!” Scroll down to see what else our team of experts think the brunette beauty has gotten done.


“Her brows have [been] elevated with a gentle feminine arc that shortens her forehead,” observes Dr. Neinstein. He says Botox (which carries a price tag of $1.2K) could have achieved this look.


Dr. Goldenberg believes Karina has used fillers, with a two-pronged effect: “Her cheeks are more contoured,” he says, “and that makes her nose less prominent.” Cost: $1.2K to $5K.


Pucker up! This is where Karina may have gone too far. “Her lips are overly enhanced,” Dr. DeLuca-Pytell shares. “Their shape looks ducky and odd.” Cost for lip fillers: $850 to $1.7K.


Dr. Neinstein thinks she’s treated her chin with both Botox ($1.2K) and fillers ($1K). “Botox rests the chin muscle and smooths the jaw,” he says, “and filler removes the dimple.”