"My first thought is that she must be really confident about herself to purposely go for something as unflattering as this. "
Jeez does it matter. Why are we so ready to criticize the looks of other women. yonly 'woah' issues with this woman is why she's gone down the line of her mil aka the extreme thinness. Oh and she has lines on the face - don't most women?
I don't except extreme purposely achieved thinness as the ideal of women (and there are lots of comments about the 'fullness' of her face) - aka most lingerie models modelling bras - erm - you wouldn't wear shoes if you didn't have feet.
Shame she has to be beautiful because she's in the public eye.