There's a video of her speech at a black church on youtube,  this is what is from.  At the very least she's had work done,  fillers and botox.  The video is more recognizable as her than this picture,  but it's obvious she's had drastic cosmetic work done and I guess rest has helped her look better.  Idk, maybe it's a body double but for what? Some nobody that can't get a crowd to her book signing at Costco? All the comments on the video from this speech at a black church were negative.  There's no reason for her to need a body double.