I don’t think she got buccal fat removal. I think she just lost a lot of weight at once and now she looks like a lollypop bobblehead. Extreme and fast weight loss can do a number on the outside of your body, especially if it’s done in an unhealthy way. I think that’s why she looks so haggard and aged, not to mention filler migration and whatever Botox she might be getting. I’ve noticed her hair is receding quite a bit too. I think it’s partly not getting enough nutrients, and also the skincare/heavy makeup she uses.