I’m suspecting a long-time meth user as well. A “woman” that age does not have “zits” on her face. Those spots look like meth sores.
Uh, yeah... Sometimes we do. I’m almost 40 and I still break out on occasion. My mom does too, and she’s in her sixties.
That being said, “Pascale”, I’m pretty sure, is a man’s name.