If somebody showed you 3 screenshots from the same concert but they didn't disclose which concert and they zoomed in far enough so you couldn't see that the wardrobe or the venue were consistent, you might think it was proof of surgery.
Just from watching videos of her, like the clips of DOMESTIC Virgin Line which made it into the blu-ray compilation, she already looks like several different people in one song, depending upon her expression at the time and what angle you are seeing her from.
Fans were complaining about her lips when OSCA came out. Other than that and the mole stuff, I don't think she's ever had any work done with her nose or her jawline or anything like that. A combination of aging, and mothering a 2nd child; probably have more to do with the changes to her appearance in recent years.
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You know Tokyo Jihen is a supergroup, when you can't blame most of the members for wanting to pursue other projects.
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