The most memorable portrait in the gallery, this is the visage of the Countess of Tylenol, er... Tyrol. She looks vaguely familiar because she's inspired a number of scary women in illustrated books and cartoons.
I'm thinking of printing it and sticking it on my bathroom mirror to remind me about the horrible wardrobe mistakes we maturing women can make. Not in the possession of aging, withered breasts, I don't have to worry about that one, but the hair and makeup errors are a possibility. Her situation is a clear case when an obscuring veil might have helped.
If this painting isn't a caricature (which I think it is), then it is a tragedy - particularly if the condition was caused by Paget's. As it happens, I know two people who suffered from Paget's disease, both with badly curved spines and backs, but no facial deformities. I'm not sure which would be the lesser of two evils - bent over so you can hardly walk or having your face ruined. Ruined faces I know about from my Acoustic Neuroma group...if your facial nerve is affected during AN treatment it may result in paralysis. The result is very difficult to live with. I was lucky my facial nerve wasn't affected; I could have ended up this way. Experts in facial re-animation can now help people with paralysis and make significant improvements.