wow, she was striking even as a kid.
I think she's had a nose job - or done something else which has altered the shape of her nose (if you know what I mean...) Other than that, I think it's just weight loss and different hair cut.
The nose is recent - compare how she looked a few years ago, when first on Miami Ink, to her latest LA Ink promo shots and all the copious draped-over-Nikki-Sixx shots. There's some difference there.
Steve-O alleges she's a massive coke head (had a huge rant on his blog about her once) but that was at the peak of his downward spiral, a few months before he was 1050'ed into rehab, so I'm still taking it with a pinch of salt.
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