Someone up thread mooted that she may be on the autistic spectrum, I think I'd read that before, maybe on MN and I don't think it's unreasonable to reach that conclusion.
I do think it's sad she has felt the need to muck about surgically enhancing her body and face, she was perfectly fine in the first place and I'm sure she'd have aged a whole lot better if she'd maintained her natural state, 40 isn't old, it's still young but nevertheless at that age it's impossible to turn back the clock and capture the first flush of youth, that bloom fades quickly. It's kind of futile to emulate the style of a late teen/early 20 something and hard work too! Just too much of everything, hair extensions, lip fillers, teeth veneers, false nails, bust and bum fillers. I can't believe it can do anyone any good to anaesthetised merely to go under the knife for unnecessary surgery.