JWOWW has recently started using Botox injections on her face. Although it's not plastic surgery, the before and after photos show a big difference. All of the tanning, partying, and smoking has forced the reality star to resort to Botox. JWOWW's face looks strikingly different before and after. She's had Botox shots on her cheeks, forehead, eyes (crows feet), and jawline (laugh lines). Her face looks a little constricted after the Botox injections.