My, how you’ve changed! Alex Perry looks worlds away from his days as a budding designer – as he sports a VERY puffy face at Fashion Week

Alex Perry has been in the fashion game for over two decades, winning global praise for his eponymous couture label. 

And just as fashion trends change over the years, so too has the 58-year-old’s facial features.  

Stepping out at Afterpay Fashion Week Australia on Wednesday to host a live interview with P.E Nation designers Pip Edwards and Claire Tregoning, the catwalk king looked worlds away his days as fashion newcomer.  

Alex, who has made no secret of his love of fillers and Botox, sported a distinctly puffy visage as he chatted to the women on-stage. 

His lips and cheekbones appeared to jut out more than they did in his youth, while his complexion seemed very taut. 

It comes after a leading plastic surgeon accused the Australian fashion designer of ‘excessive’ use of anti-wrinkle injections.

Speaking to Daily Mail Australia in 2018, Beverly Hills surgeon to the stars Dr. Randal Haworth observed how Alex, 55, looks remarkably different in before and after photos and may have taken things too far. 

Dr Haworth claimed Alex’s face now looked ‘crowded’ as a result of ‘too much’ filler.

‘There is no denying that Mr. Perry has undergone significant change to his countenance,’ Dr. Haworth noted.

‘Compared to his younger self, his face is now ‘crowded’, making his eyes appear smaller and closer set.

‘Most likely, a generous recipe of injected filler and more than a drizzle of Botox in and around his forehead, brows and temples contributed to this look.’

‘Additionally, his mid-face (the area between his lower eyes and upper lip) has been amply plumped to attain the ‘apple cheek’, a feature I feel is best left flatter in men,’ Dr. Haworth added.

The doctor went on to say that it’s hard to determine whether Alex’s cosmetic work is permanent or temporary.

‘Hopefully the fillers used to obtain Mr. Perry’s current look are absorbable and therefore temporary,’ he said. 

‘However, if fat was used (which is a permanent, living filler) his options, unfortunately, will be more limited.’

Unsure: The doctor went on to say that it’s hard to determine whether Alex’s cosmetic work is permanent or temporary

Alex, whose celebrity fans include Rihanna and Kim Kardashian, told Yahoo in 2013 that he is not ashamed of using fillers and Botox. 

‘There is nothing not real, there are a few fillers and there is a bit of Botox but that’s that. That’s normal, right?… It’s all real. It’s all real,’ he said.     

In 2016, the Australia’s Next Top Model judge was famously criticised for his appearance by one of the show’s contestants, Kassidy Ure.

After Alex criticised her photos, the then 21-year-old sniped back: ‘At least my lips are real!’ 

Open book: Alex, whose celebrity fans include Rihanna and Kim Kardashian, told Yahoo in 2013 that he is not ashamed of using fillers and Botox