The serious undereye puffiness she's getting also shows through most of the filters lately. It's more than just fat face and aging. She should be very concerned it's facial edema.
She can hide it when she wears the Disney villian makeup that's severe enough to hold a smoothing filter's focus. But less makeup makes it obvious. She seems increasingly lumpy around her chins and jowls.
Her skin tone looks terrible without tons of makeup and she looks exhausted. Her breathlessness and gasping for air after walking to the kitchen is crazy. We've said it a million times, but her health is noticeably getting worse. She'll probably have another Hospital Beeze soon.