These things look most shocking immediately afterwards but seem to settle in with time. Hillary and KellyAnne are the most recent examples.
I don’t think Kellyanne had anything done. She was on a Fox show a couple days ago and she looked like her normal self. Her looks probably change due to being tired—raising 4 kids, one a bratty handful, working full time and dealing with a jerk husband wear most women out.
“seem to settle in with time” Take a good look at San Fran Nan.