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Lara Flynn Boyle, Then and Now

Jean-Paul Aussenard/WireImage.com, FameFlynet Pictures

Lara Flynn Boyle looks nearly unrecognizable from her former self.

The 43-year-old actress, best known for her starring roles in Twin Peaks and The Practice, was spotted shopping with her mother in Los Angeles on Wednesday, Oct. 16.

Her dramatically altered appearance, most noticeably her extremely puffy cheeks and lips, may be due to going overboard with cosmetic procedures.

Boyle looked casual for her outing, sporting a striped long-sleeve T-shirt, jeans and green sandals. The brunette finished the look with sunglasses, a blue crossbody purse and wore her hair down.

She was also seen smoking a cigarette.

Boyle made a memorable fashion statement at the 2002 Golden Globes (that we're still talking about), wearing a pale pink ballerina dress with a big tutu and slipper-like shoes.