Up, for her beauty in her prime...her great figure and innocent face. (Despite the aforementioned "nervous" eyes.)
Down...for causing her body to decay. A tragic lesson in the dark side of cosmetic surgery. She had it all repaired...but, as Don McLean sang, "That's not how it used to be"*--as the visible lines on her middle indicate.
However, I voted "up", for "old time's sake".
*(No, the pun of the song being "American Pie" was NOT intended....)