[Thank goodness it's for a movie! The actress is wheeled around while wearing heavy facial prosthetics on the set of Truth or Dare. Los Angeles, November 3. Image via Pacific Coast News Online.]
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Judging by the knuckles, I'm gonna say aging and plastic surgery. She's a bit jowly. If this were real life, since it taks forever for black people to age, she have to be damn near 80 to look like that.