I went looking for extreme plastic surgery, I didn't find any real strange things, just bad nose jobs, which they usually are, and the cat lady, who seems to generate lots of pictures.
As one who thinks most plastic surgery is stupid and looks bad, I think this one came out very well. There could be some make up hiding any scars, I can't tell.
Yes, I understand this surgery removes some of her Asian characteristics, but that's a different issue.