It is highly possible that she had a forehead implant, eyelid surgery, a brow lift to give her eyes an inward tilt, rhinoplasty, a chin implant, cheek implants, and facial filler. Why would someone have a forehead implant? It rounds out the area to give a more feminine appearance. What does it feel like afterwards? There is bruising and swelling after surgery and sensation in the forehead can be lost.
Look at where she started off and where she ended! She went from looking like a tomboy to looking very pretty.