Sophia Loren was once voted the world's most naturally beautiful woman. She has aged very gracefully, although it looks like she had done some cosmetic surgeries.
Sophia has also been rumored to have had an eyelid surgery (blepharoplasty) which helps to eliminate sagging skin around the eyelids that come with age. Her eyes are freshened up and wide with little signs of under eye-bags or hooding over the eyes, which is likely due to an eyelid surgery of both the top and bottom eyelids.
I believe she also had a rhinoplasty surgery. Her nose is larger in the black and white photo and making it smaller made her other features stand out more. Her neck is quite tout for a woman her age and she has little jowling along the jaw line, what it directs is a facelift and necklift. There is a rumor of her breast augmentation but i think she had done breastlift.