Lisa Vanderpump’s Surprised Look

I’m not good at discerning specific cosmetic procedures, and I have been studying this picture of Lisa trying to figure out what is going on. On the one hand Lisa has the "*****" Look of someone who just had work done, but I gotta say that the skin on her face looks good – not too tight or shiny. I am wondering if that is a true representation of her face or camera trickery.