Nikki Cox Plastic Surgery underwent lip augmentation and filling. Chemicals such as Juvederm were injected in her lips making them appear bigger and fleshy. The lips have had a drastic effect because they have changed even her entire face. Her upper lips which are the most affected appear bigger than they were in their before photo.
The size of Nikki Cox breasts has changed. They appear bigger than they were before pointing towards breast augmentation. Just like any other celebrity, her desire was to have breasts that are large enough to fit into her structure. However the person who did the boob job missed some parameters making the output awful. The breasts came out bigger but pushed up. This can be attributed to the use of large silicon pads.