Bette Midler has always had a unique look, but after extreme plastic surgery she's lost a certain appeal. The before and after photos make it obvious that she's had a facelift, Botox injections and fillers. At first glance of this before and after pic you can tell how puffy her face looks now. The Botox made her face shiny smooth and the fillers gave her the puffiness in her cheeks. Overall, Bette Midler may have gone a little overboard on the plastic surgery.