Plastic surgery.
The top picture shows Italian fashion designer Donatella Versace.
Bottom picture is New York socialite Jocelyn Wildenstein.
The two women in the pictures must be mentally deranged I reckon - but I wonder how a reputable surgeon would do that to a woman - even if it was what she wanted. Every time the surgeon's see their picture they'll be reminded of the monsters they've created - Urgh!!!