Why? There are many pictures on izi showing Asian girls doing much bigger transformations than this using only makeup. She wasn't in a state that should make that impossible.
She had her first cosmetic procedure, a facial reshaping, on the first day after graduating high-school, and she has since turned to plastic surgery several more times, spending about 4 million yen ($40,000) in the process.
Why? There are many pictures on izi showing Asian girls doing much bigger transformations than this using only makeup. She wasn't in a state that should make that impossible.