Before and After: Lisa Helou Pre Plastic Surgery Pictures
Pre-surgery or post, Helou looks similar, which suggests Lisa Cantagallo underwent plastic surgery or botox before 2018.
Lisa's Instagram fame came with her real estate job; she has been the face of it since 2018, her first Ig presence.
Here is an entire timeline of possible surgery Gio Helou's mom had over the years.
Cosmetic Surgery Before 2018
Helou family has been a juggernaut of real estate for some time now. Their first public appearance came through 'Selling The Oc' in 2022. Lisa, however, has been an Instagram fame since she joined the platform in 2018.
Going through her Ig pictures, it's obvious she looks the same in almost every photo. However, Lisa Helou's face has that different inflated look in them. Most probably through cosmetic surgery.
She must have had one before her meteoric rise on social media. Despite keeping everything under wraps, it's hard not to notice that face, which looks charming and expansive.

On the other hand, already in her late 50s, it's curious how Cantagallo has managed to avoid wrinkles and maintain a glow on her face. Could it be the needles?
Lisa Cantagallo Face and Chin Lift: Cheiloplasty
Facelift and lips surgery is common in Hollywood, as the market demands them. Survey shows Lips augmentation has increased by 5% since 2016, whereas fillers and related surgeries have increased by 312% since the early 2000s.
Lisa Cantagallo could also have been tempted toward plastic surgery. Her face and lips seem bulged based on her appearance on Selling The OC.
Did Lisa Helou Undergo Botox?
If you have watched Selling the OC, Lisa Helou is a fitness enthusiast and likes to keep herself in shape.
As speculations swirl around about Lisa having a botox on her face, she likes to keep those affairs private.