Campbell ‘Pookie’ Puckett and her husband Jett have undoubtedly captured the hearts of the internet as TikTok’s favorite couple.

A decade ago, influencers weren’t living the lavish lives they do now, complete with luxury handbags, diamond jewelry, lucrative brand collaborations, and sponsored vacations worldwide.

When Campbell, 33, and Jett, 34, first met in Philadelphia in 2016, they were just as regular as any other couple – with conventional looks to match.

But Campbell, who previously worked for American Airlines as a flight attendant, had big dreams of being a lifestyle and fashion content creator.

She regularly posted on Instagram during the early stages of their relationship, uploading photos of their European travels with the hashtag #puckettlist, detailed shots of her six-carat engagement ring valued at around $200,000, and daily fashion snapshots.

By 2023, thanks to the support of her devoted husband Jett, who frequently showered her with Hermès bags, Campbell’s influence on social media skyrocketed.

Influencers Campbell ‘Pookie’ Puckett and her husband Jett Puckett have captured the hearts of the internet as TikTok’s favorite couple

With videos of her husband gushing over her – most notably, saying she looks ‘fire’ – Campbell was able to transform from struggling content creator to a successful social media star with over two million followers across TikTok and Instagram.

Now, as new parents to baby daughter Paloma, born in November last year, Campbell and Jett seem to be living in marital bliss.

But as Campbell’s influencing career took off, her eagle-eyed followers noticed a stark difference in her appearance over the years, and whispers about her rumored cosmetic work abound online.

After all, as the adage goes, once you post something on the internet, it’s there forever. 

In a post shared to the Reddit forum r/NYCinfluencersnark, one person highlighted Campbell’s ‘insane’ aesthetics overhaul.

‘Her physical transformation is crazy! I can’t put my finger on what she had done but her face looks so different. She is way prettier now. [In my opinion] she was fairly average when she first got with Jett and first married him,’ they wrote.

It was also alleged on Reddit by a ‘close friend’ of the couple that Jett ordered Pookie to have breast surgery, although there is no evidence of this shocking stipulation. 

But Campbell, save for the confirmation of Botox injections, has not publicly divulged cosmetic enhancements.

Speaking to the Daily Mail, however, Marlee Bruno – a physician associate and the founder of Mind Body & Soul Medical in Pensacola, Florida – has revealed what she thinks could be behind Campbell’s evolved appearance, though she has not worked with the social media star.

Pictured from left in January 2016 and July 2025: As Campbell’s influencing career began to take off in 2023, her eagle-eyed followers began to notice a stark difference in her appearance

Masseter Botox 

‘In earlier photos, Campbell’s jawline reads wider and more angular and now it is noticeably more tapered and heart-shaped, which masseter Botox can absolutely help achieve over time,’ Bruno said. 

Indeed, Campbell posted on Instagram in 2020 that she received masseter Botox injections – a popular treatment for teeth-grinding and jaw-clenching – to make her ‘face feel more slim and my jawline not so harsh.’

By injecting the botulinum toxin, or Botox, into these muscles, it can slim the face and produce a softer, more contoured jawline. 

But Bruno emphasized that the effects of masseter Botox injections don’t happen overnight. Rather, the injections – which can cost anywhere from $400 to upwards of $1,000 per session – helps relax the jaw muscles over time.

Pictured from left in 2016 and 2020: Campbell has received Botox injections in her masseter muscles to make her face ‘feel more slim’ and her ‘jawline not so harsh’

Cheek and lip filler

Bruno also speculated that Campbell’s appearance – namely, her pronounced cheekbones and plump pout – seems to have been enhanced with the help of dermal fillers.

‘Her cheekbones appear higher and more defined than in her earlier photos, which can be achieved with dermal filler placed to create lift and structure,’ Bruno said.

‘Her under-eye area also looks smoother and brighter. In past pictures, you can see a bit more hollowness and shadowing, whereas now there’s a seamless transition from her lower lid to her cheek. 

‘That kind of change often comes from tear trough filler or midface volumizing, which we’re definitely seeing here.’ 

As for her lips, Bruno said they look subtly enhanced, but not dramatically overfilled. 

‘I’d say they’re more balanced with the rest of her features, giving a softer, more youthful mouth shape,’ she added.

Bruno also speculates that Campbell’s appearance (left in 2017 and right in 2022) – namely, her pronounced cheekbones and plump pout – seems to have been enhanced with the help of dermal fillers 

Filler – typically made of made of hyaluronic acid – is used to accentuate desired areas of the face, reduce the appearance of wrinkles and fine lines, plump lips or restore volume to sagging skin.

According to Direct Aesthetics, the average cost of lip filler in the US is $750, but prices can range from $500 up to $1500 for one treatment. These injections tend to last anywhere between six to 12 months. 

While the popular hyaluronic acid injections are generally safe, they can also cause redness, swelling, bruising, itching and tenderness at and around the site of the injection. And, some women have started to swear off filler out of fear of looking like a ‘gargoyle’ or developing the dreaded, overfilled ‘pillow face.’

Microneedling

When it comes to achieving perfect skin, luxury treatments like laser skin resurfacing, facial peels and microneedling are some of the most common skincare secrets backed by celebrities and influencers.

As for Campbell, she’s been open in the past about her skincare journey and has even gone so far as to call her skin her ‘biggest insecurity.’

In 2019, the influencer shared a video of the microneedling treatment she received to ‘help treat texture, scarring, and fine lines.’

Indeed, Bruno noticed that Campbell’s overall skin texture appears more refined and even-toned, which she said can be ‘the result of in-office skin treatments like microneedling with PRP, chemical peels or laser resurfacing.’

Pictured in 2019: Campbell revealed she underwent microneedling treatments to ‘help treat texture, scarring, and fine lines’

Microneedling treatments using PRP, platelet-rich plasma, is done using small needles to prick the skin to generate new collagen and skin tissue. The results are smoother, firmer, more toned skin while minimizing scars, wrinkles and large pores.

More commonly known as the ‘vampire facial’, the unusual treatment involves drawing a person’s blood and placing it into a machine that separates the platelets from the rest of their blood. Then, the part of the blood that contains a high concentration of platelets is re-injected into the skin.

‘Individually, these treatments are subtle, but stacked over time, they create a clear evolution,’ Bruno said.

The Daily Mail has contacted Campbell for comment.