You can give the impression your face changed in photos eith the right lights + angle. You can use make up. You can use photoshop. You can use less invasive procedures like botox or fillings. You can use a mix of any of those things.
If she had plastic surgery as frequently as people around here tend to assume, I believe there wouldn't be tissue for the surgeons to work with at this point
She would be Michael Jackson/Amanda Lepore level of deformed.