Can anyone say: "photo shop"? Aside from slight weight and age fluctuations, it appears that her photo retoucher let loose. Hilliary certainly deserves to look rested, artificially or for real.
Kudos to the parents of this tormented girl who recognized that a daughter's avoidable pain should be avoided. Period. If this girl had a mis-shappen bone anywhere else on her body, no one would question such a surgery. And, the face...