That is (was, she’s dead now) the Duchess of Alba, a Spanish lady known for the bluest of blue blood in all of Europe, however they figure those things.
I’ve been told (by a Spanish friend with upper-crust associations) that she was a really nice woman, known throughout Europe for charitable works and all that ... but once you start down the cosmetic surgery path, that’s where you’re going to wind up unless you run out of money or die first.
Boy, the Duchess sure could saved Pixar some serious computer rendering time for their "Scars" project....with companion character Wildenstein.