Elle Macpherson has had quite a bit of plastic surgery over the years. Before and after photos show that she's had Botox, breast implants and a nose job just to name a few. This first before and after pic of Elle Macpherson show the progression of her face over the years. It's obvious that she's had Botox injections in the last few years in order to find off any lines or wrinkles. Also, she had a nose job in the 90's to lower the tip of her nose. It seems like the type of plastic surgery that you would get at a younger age, but not for Elle Macpherson.