Karoline Leavitt, 28, confirmed in December 2025 that she is expecting her second child, due in May 2026. That timeline indicates that she would have been already pregnant when the photograph in question was taken, given the typical nine-month gestational period and the publication date of the image on Dec. 16, 2025.
The photograph, part of a larger profile of senior figures in the Trump administration, was produced by acclaimed photographer Christopher Anderson for Vanity Fair. It depicts Leavitt in an extreme close-up that social media users widely interpreted as showing what appear to be injection sites around her upper lip, consistent with recent cosmetic filler treatment.
