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Khloe Kardashian can pretty much never be seen without makeup on. She always at least has on eyeliner and mascara. So, to see her in the left photo with absolutely no makeup on is pretty weird.
She was between ages 18 and 21 in the before picture. Also her face is pretty badly photo shopped in the after picture.
This before picture shows Khloe Kardashian in high school with no makeup on.