What happened to lindsey lohan face again

The latest iteration of Lindsay Lohan walked the red carpet at A&E's big upfronts event last night in New York, and man. Something is seriously wrong.
There to support Lifetime and her new Liz & Dick movie, Lohan showed off her new skin shade of copper, applies unevenly, and absurdly plump lips.

Lindsay's face also appears more taut and stretched than before, perhaps the result of having work done, which is perhaps the result of attempting to stave off the effects of smoking, drinking, snorting coke, tanning and emotional abuse.