Well one can't accuse her of messing with the plastic surgeons. Funny, (as in weird!) she really doesn't seem to care about her appearance, the dress she wore to this day time event looks like it was from the early nineties. It looked bad on her and out of date and even if she was loathe to do something with her face, it seems rather strange that she doesn't have an ounce of fashion interest any longer.
She has been to the plastic surgeon - she had some sort of lift a couple of years ago. She has that pulled eye look, she's also using fillers in her lips. Trouble is she has done so much damage sunning and smoking (which she still does) there is only so much can be done. Also the hair is too dark and too harsh pulled back off her face. A softer hairstyle, less strident clothing and a skin colour several shades lighter than mahogany would look better IMO. It's a shame because she was really quite stunning as a young woman.