This is a classic case of over-makeuping. A normal, medium stress level, non-smoking person loses most of their pimples around 17-19. There are some people with genetics that cause acne to an age of around 24. Washing your face with normal, clean water every morning and evening can even reduce the amount of pimples in your face to a minimum. However, wearing makeup every day or even every two-three days can close up the pores, resulting in skin problems. The eyes still have shades of makeup and look like the girl lacks sleep or at least rest. If she smokes, that could also be an indicator for bad skin and saggy eyes. To close it up, the comments are obviously utterly unnecessary. If you look at a picture someone posted because they want to know if they look good without the beauty products of the 21st century, and you think they look like a pile of shit, you don't have to tell them. ...except you're me and the person is a guy posing in an open jacket with nothing beneath it... But this looks to me like an obvious case of over-makeuping, so it's not like the girl didn't do anything to look that way.