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Extreme Trout Pout Alert! What HAS Nikki Cox Done To Her Lips?!?

//nikki cox lips plump

Mar. 4 2013, Updated 3:40 p.m. ET

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Former Las Vegas star Nikki Cox looked a far cry from her former self as she stepped out on Saturday with a pout to rival Jocelyn Wildenstein.

RadarOnline.com has the shocking photo of the surgically enhanced actress looking unkempt and underdressed during a trip to the grocery store with her husband Jay Mohr.

Wearing sweats and a scruffy t-shirt with no bra Cox's face and lips looked puffy and far from natural.

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The 34-year-old was hardly recognizable as the once fresh faced star she was.

RadarOnline.com previously spoke with celebrity plastic surgeon Dr. Michael Fiorillo about Cox's startling transformation.

He said: "She definitely appears to have gotten some sort of filler in her cheeks and lips, which could be either Perlane or Restylane.

"Injectables always look best on a person when they are not noticeable, not when everyone can tell that the person had work done."

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