Over time, fillers have gained popularity, and celebrities who overuse them are frequently chastised.

Ryan Gosling and Eva Mendes had to endure the wrath of social media beauty reviewers last month after images of the couple’s older and more recent pictures began to circulate online this year.

On March 29, Meredith West, a physician assistant with a Master of Science and 15 years of experience in plastic surgery and injectables, shared a joint reel with Mountcastle Medical Spa, a Virginia-based medical spa, on her Instagram profile.

Ryan and Eva’s “before and after” photos in the film seemed to show a dramatic change in their physical appearance, with the married couple appearing somewhat “puffier” than they had in the past.

“I assume they’ve both had recent cosmetic procedures,” Meredith captioned the Reel.

“I think Eva might have had facial surgery (possibly a facelift +/- fat grafting), and they both probably had Botox and facial fillers,” the spokesperson said in her explanation.

The most popular type of injectable fillers are made of hyaluronic acid

According to the NHS, botulinum toxin injections, like Botox, relax the facial muscles to minimize wrinkles and lines like frown lines and crow’s feet.

Overuse of both Botox and fillers can lead to negative effects. According to Nurse Gemavie, overdosing on Botox can lead to excessive muscle weakness, which can cause problems with facial expression and lead to an unnatural appearance.

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