It’s like they were trying to make her look like a tranny. It might have just been done with lighting,lens, and angles...but something is just plain weird about the bottom of her face compared to the rest of her head and her body.
I agree that there’s something funny about the photo - in most photos she’s quite a bit more feminine - without such a prominent lower face.
However, age does make things sink - so who knows. She’s still gorgeous and even if she weren’t I’d still want her to be POTUS.