What could motivation someones frontage to bloat up?

Such as Miley Cyrus' at the Grammys.

picture: http://i29.tinypic.com/2cgcck.jpg

Don't joke or anything, I be determined really. What medical reason could it be?

I've hear things such as:
-Her period
-Binge drinking
-Bulimia
-Cocaine
-Crying

What could it be?

Answers:    Eww, she looks fearful... the first thing I thought of be steroids...I was on them for chemotherapy and my frontage bloated like that. Steroids can donate you a lot of vim...I couldn't sleep for days afterward.
LMFAO.
that's the funniest picture i've seen contained by a while
maybe she's overly joyous
wow she did look horrible... looks like she get her lips pumped up next to botox and was still swollen.

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