That's more than botox. I read about some new face lift technique that uses threads to uplift. Maybe that's what she did, but there is more going on than botox. That picture looks like one of those photoshopped pictures that you see on the cover of STAR or Enquirer with a fat body with someone else's head.
I'm not well versed in plastic surgery.
We need a plastic surgeon FReeper to weigh in on the issue...I wonder if one exists?