She does look Downsie as fuck, but I think that's just her face, and the effects of obesity on her existing eye shape, and general figure, or lack thereof.
Is there a spectrum btw? You either have Downs or you don't, I thought? She or her handler would surely be exploiting the shite out of it if she did for bonus oppression/intersectionality points to combine with the fatty stuff.
The chick in the first pic needs to put on a bra, as already mentioned. That is one nasty, unfortunate look she's got going on there. Again with this choosing the most unflattering look they can thing, that seems to be standard operating practice with these people. A decent bra would at least give her the impression of having a waist. I don't want to hear how bras are so uncomfortable either. If they are, it's because you are wearing the wrong size. Get measured correctly and try on multiple brands and styles until you find one that is comfortable and supportive and buy multiples in that style. I'm not sure how schlepping a couple of swinging pendulous, to-the-waist hams on your chest isn't more painful though. It's certainly a painfully unpleasant look.