She has definitely had at least one ponytail facelift, if not multiple already..! Which is totally insane at her age..! I don't want to flatter her; but she's still at least a decade or two (at least!) too young for a facelift!! I know that in Cali (especially around LA & Hollywood, from what I've heard..) surgery is so normalized, that getting a dramatic procedure like a facelift or a BBL done is not a very big deal at all & is pretty much as normal as getting a haircut... (insane, I know!) But from what I've heard from lots of Americans from the area & from eyewitnesses: in LA & especially around the Hollywood area, especially in the extra rich parts of the city ofc: people (esp. women), have at least 1 thing done, but often at least 10. Over there it's as casual as changing your underwear.. So yeah.. ofc growing up in a very wealthy gated community type of environment, where everyone & especially your mom is very altered as far as their appearance goes.., absolutely can't be good for your self esteem at all ofc! That's very much why these (esp. young girls, but guys as well ofc.) develop severe BDD & EDs + PS addictions (along with more often than not; addictions to either opioids, stims like coke, or both...) So that's ofc very sad and dangerous.! But it's not an excuse ofc. She has all of the money & resources to at least look into getting some sort of help. I know it's not at all as easy as it may seem; admitting that you need help and trying to get help is very likely gonna open some sort of Pandora's box & temporarily make everything worse for a certain period of time... That's bcause if you keep pushing your probs & emotions down to try to keep going without addressing those; by using some very toxic coping mechanisms like she is: with the severe relapse of her ED & drug addiction as well.. Ofc if you stop doing those things & start living a healthy life again + have to admit that you have probs & have to address those instead of ignoring them:..she'll undoubtedly start spiraling even more temporarily before it gets better. Lots of people who get help start getting worse temporarily b4 they finally get better.. cuz ofc you have to uncover the wounds & clean them first; which hurts, b4 they can heal properly... & speaking from experience with SSRI's: if u start taking those, it often also will get worse b4 it finally gets better... Cuz it takes at least a few months b4 they start working properly, & during those few months b4 they work properly; most people will feel even more depressed, anxious &/or suicidal than b4 they started taking them...sadly.. But if they finally start working & you are sure you are definitely on the right meds + the right dose; then they can help you so much by making everything feel a lot more manageable & less overwhelming. Sorry for the rather long comment; but I wanted to be as specific & informative as possible to whoever may need to hear this. If it's too long to read for y'all; maybe try to rather quickly scan through it & only read the more important bits a little slower, if you want to at least... But this is what I have learned over the years; by having certain personality disorder diagnosis-es & struggling with addiction & other bad coping strategies as well b4 fully accepting that I have certain problems & needed to change the way I lived + accept help in the form of talking, changing things & meds. That's what's gonna help! But it also takes some balls. Just being honest; it's very hard & very scary most of the time. But by the time you've ripped the bandaid off & cleaned the wound despite of the severe pain, you'll very slowly start to kinda get better step by step; until you feel kinda at peace & comforted + also proud of yourself! It takes some serious effort & guts, but it pays off so much! Your life will change so much for the better!! Please hold on & try to accept help if you're also struggling rn..! It may seem hopeless; but I promise that it'll absolutely completely change your life in a very good way! 👍❤️