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What's happened to Khloe? Kardashian looks distinctly fuller in the face as she promotes detox tea

Published: 15:25 EST, 3 September 2015 | Updated: 17:04 EST, 3 September 2015

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In the past she's angrily denied having any plastic surgery.

But Khloe Kardashian sparked a backlash from her Instagram followers after she posted a picture of herself looking remarkably different on Instagram.

The reality star's face looked plumped up around the cheeks, lips and eyes, as she posed to promote a detox tea.

Sitting on a make-up chair in a salon, Khloe wore a full face of make-up, with her lips painted the same nude shade as her skin.

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New look, Khloe? Kardashian sparked speculation that she had used fillers when she posted a photo of herself promoting detox tea on Instagram on Wednesday

Spot the difference: Khloe pictured back in July, right, with less plumped up features

Her dyed blonde hair was pulled up in a backcombed ponytail, there was definitely something different about the 31-year-old.

Her fans were quick to remark on it, with more than 4,000 comments on the photo. Many speculated that she looked 'different and fake' - and appeared to have had cosmetic enhancement.

'Stop trying to change who you are! You were actually beautiful before all these stupid changes you're making. I always looked up to you for being so real in a world of fakes, but now you are just one of them now. So sad,' wrote one fan.

Posing: Khloe is pictured on Monday night with sister Kim at Nobu in Malibu

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Another of the dozens to question her appearance wrote: ''Eww what's wrong with your face? You look so different & fake.'

Earlier this year Khloe was forced to defend her new slimling physique after speculation that it was the result of surgical intervention.

'I find it disgusting but maybe a compliment that I'm being accused of getting Lipo done,' she began, adding: 'I work out 5 days a week. I bust my a**!'

She then highlighted the fact that she is often pictured going to the gym daily, pointing out that if she had of had surgery she wouldn't be able to work out.

'Pregnancy lips!' Kim Kardashian posted a picture of her own inflated pout last week, which she attributes to her pregnancy

However her well-documented love of working out is perhaps less likely to have done anything to change her facial appearance.

Khloe certainly isn't the first in her family who has been accused of using fillers.

Her big sister Kim, 34, sparked speculation when she posted a picture of her 'pregnancy lips' last month.

And having previously denied that she had utilised fillers, Khloe's half-sister Kylie Jenner admitted to using them on Keeping Up With The Kardashians in May.

'It’s just an insecurity of mine and it’s what I wanted to do,' she said, claiming to have used 'temporary fillers'.