Heavy make-up.
https://static.oprah.com/2016/09/201610-omag-oprah-contour-pinterest-promo-r2-949x534.jpg
The following has her looking down but her face and hands show pretty typical signs of aging.
https://static.oprah.com/images/o2/201610/201610-omag-oprah-contour-trying-products-450x450.jpg