Botox does cause swelling. The more botox, the worse the swelling.
I've also suggested before that maybe she was beaten up. Altho if she were sober she coulda kicked HKS's ass into the middle of next week imho.
Well, it obviously wasn't left over from her "display" in June or July 2005 when she was judging the wet T-shirt contest.
But if she splatted herself face first that time, surely there were other times that might've happened.