The way she frames her early drinking as being caused by growing up in the countryside - definitely unhinged.
Modifying her body as an "offering" to her partner, who wasn't asked ... also rather creepy.
And then it does indeed look like a row of cigarette burns. She needs help.
Scarification sounds awful, but not much worse than tattoos. (Considering that some tattoo colours are suspected of causing cancer, perhaps scarification is even safer.)