This is what I see. The part between her lip and nose is what my eyes are drawn too as it looks like there should be more space there. It's like she has lost the whole top of her jaw (which she probably has from what I read)She looks like she’s got a cleft pallet. I wonder if she’s got a hole in the roof of her mouth.
Her son in his ig says he was living on the streets for 3 years. Grim.