She is hardly disfigured. It just looks like normal post-meno weight gain. Of course, when your conventional beauty has been your value all your life, ageing must present additional challenges. It's interesting to see how the various supermodels are dealing with it. Some are in a total cage-fight with physics while others are just letting it happen and are very open and honest about it
I'm sorry, that is not normal post-meno weight gain. And yes, she's hardly disfigured, but she undertook a procedure which a) didn't work in the way it was supposed to and b) has caused irreversible side-effects.
The crux of the matter the practitioner who carried out the work did not tell her about the possible side-effects, and she had the procedure without knowing there was a chance it could go wrong/what the consequences could be, no matter how minuscule the probability was. Irregardless of this is she signed a pre-op consent form, Evangelista did not give properly informed consent as the company failed to fully inform her about what could go wrong/how her body could be adversely affected. In short, they failed in their duty of care to her and acted with negligently.
As an aside, I don't think there is anything wrong with vanity or for people, women in particular to care about their looks. During perimenopause, before I went on HRT, I gained over 15 kilos in less than a year. I felt and looked horrendous. No amount of diet or exercise would shift it. Many of my girlfriends told me I was being silly and I needed to embrace my 'new look'. They made me feel bad that I was being so superficial (in their eyes) and cared so much about not being able to fit into my clothes or looking like myself. A huge part of my identity is tied up with my how I look and the clothes I wear. It is not for anyone to tell me I shouldn't feel this way. While I am no supermodel, I understand completely how Evangelista feels. Thankfully HRT and weight lifting sorted out my weight gain although it took a long time, but now, I am back in all my own clothes and look like myself again. There is no such fix for Evangelista.