The over inflated lips certainly haven’t helped her either, as is often sadly the case.
I feel sad for her that she’s suffered with her MH so much in the past, to the degree of having the self harm scarring that she does. She’s her own worst enemy at times, I feel, she doesn’t seem to help herself and her living situation, the things that seem to make her most unhappy. Not that I’m saying you can just ‘fix’ yourself, of course, but she could definitely make better choices sometimes.