That was the picture of an aged crone, perhaps suffering from a multitude of physical ailments, many induced by excessive consumption of alcoholic beverages, and insufficient regard for even basic attention to nutrition and exercise.
Exacerbated by long-term damage as a result of a fall in December, 2012. There may have been evidence of traumatic brain damage, that has been artfully concealed.
It sure takes a lot of adjectives to describe that kind of ugly.
Fred Sanford said it best: “Beauty is only skin deep, but ugly goes all the way to the bone.”