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That just happens to be a particularly unflattering pic of her....she looks good on plenty of other pics I've seen. The fact is we all take bad pics sometimes and better pics other times. And we all deteriorate with age. Plastic surgery is an option of course but since she has the money and doesn't look like she has had a face lift, my guess is she is happy with the way she is and shouldn't have to change it simply because of what other people think.
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