Are those cheek fillers? It looks like someone halved a ping pong ball and inserted them.
They might be implants now....the trouble with those is they can shift so fillers are often used instead.....she had pretty round checks to begin with so fillers are generally enough....but at her age and wear she’s put on her body it’s possible they are implants.
Her problem is she’s just let herself go and the lifetyle she’s lived going after people and plugging holes, lying and the host of other criminal acts show in her face. She’s always been a nasty woman and that will show in ones face eventually....