I am certain she has had quite a bit of work done. She looks different from one TSV to another. Her cheeks look like she has cotton wool stuffed in them.
But, I have to admit to really liking her oil and day and night creams. I think they are lovely and I have dry skin that can start to peel if I buy something new, so I am always pleased to find something that's good and hydrating. I alternate between Lulu's, A'Kin and Alpha-H. (with a bit of Gatineau and Decleor now and again). Blimey, I think I have tried every skincare QVC do, now I come to think of it.