Teen Mom Chelsea Houska looks unrecognizable in rare unedited throwback photo before drastic ‘plastic surgery makeover’

TEEN Mom star Chelsea Houska has fans saying she looks unrecognizable in an unedited photo before plastic surgery.

The MTV alum has been accused of going under the knife, making dramatic alterations to her appearance.

On Tuesday, Chelsea's friend shared a throwback photo of them together in honor of the reality star's birthday.

The pic showed them hugging in what appeared to be a bar.

Chelsea had on a leather jacket and a camo baseball cap.

Her long dark hair hung down around her shoulders.

The Teen Mom alum's face appeared less slim than in more recent photos and her lips were not as plump.

Her appearance has changed drastically since her MTV days.

Fans often speculate that she's had plastic surgery and gotten fillers.

Others often focus on her weight, with some concerned that she's taken her recent weight loss too far.

Chelsea recently shared a photo modeling new pieces from her fashion range and flaunting her thin figure.

She posed in front of a dark-colored wall while modeling pieces from her fashion range with Laurie Belles.

The mom of four was seen wearing a tiny light denim skirt and a black cropped tank top.

She had a brown bag with fringe details slung across her chest.

Chelsea completed the look with a trucker hat that read, "Golden," and an oversized pair of sunglasses.

The Teen Mom alum posed with hand in her pocket and her legs crossed one over the other.

She had on a knee-high pair of black cowboy boots.

Chelsea's shrinking frame was on full display after undergoing serious weight loss.

She captioned the post: "OOTD featuring the newest release from my line with @shoplillyanddottie *the dolly tank* built in shelf bra - coming in 3 colors full outfit is from @lauriebelles - linked in my stories!"

Fans flocked to the comments, praising the South Dakota TV star.

Her husband, Cole DeBoer, wrote: "SMOKESHOW."

A fan commented: "Beauty!"

Someone else wrote: "Love the look Mrs. DeBoer."

Another fan wrote: "Well meow mamiii."

A fifth commenter wrote: "So cute! Love the whole look."

Chelsea has been teasing the return of Down Home Fab for season two.

She and Cole appear on the HGTV series with their kids, renovating houses in South Dakota.

On August 22, she shared a sneak peek at the second season of the series.

She shared a video giving an inside look at life on set that left viewers laughing.

She posted a TikTok video from the set that showed her holding one kid in one hand while armed with a tablet in the other.

Her husband also made an appearance in the clip, setting one of his kids up on a swing set.

Chelsea showed her youngest child, Walker, strolling around with a snack and a pacifier.

She approached a member of production, tapping them on the leg.

Watson – Chelsea and Cole's oldest and only son – and their daughter Layne also appeared in the video at various points.

The three young children ran and explored as Chelsea and Cole worked.

The Teen Mom star captioned the post: "Bring your kids to work they said, it'll be fun they said."

Cole commented: "Never a dull moment."