Wonder what's up with the "double chin" in the first photo? I just can't get over the hair! It's getting more and more masculine. She looks awful but then may be she's actually coming into who she really is?
And i guess it isn't really too much of an effort for her, come to think about it. She has been training her whole life due to her 'career'. She is used to it. A real effort (in her particular case) would be, i don't know, memorize how to say 'bonjour! Comment ça va?' Or even better: staying away from the surgeon's office. THAT would cost her a lot of effort from what i see.