Indeed, it seems the only person laughing all the way to the bank here (or at least, for now, aspiring to out of all this) is "Doctor" Vicki Belo who posted a photo of herself with Ms Pempengco (portion shown above) on her clinic's Facebook page the Belo Medical Group which is accessible to the public as of this writing.
Considering that Pempengco was originally noticed by the likes of Oprah Winfrey and Ellen Degeneres sans all such facial "enhancement" (i.e. when she performed as herself) we can only wonder now if this is all a misguided attempt to compete in a class of celebrity she may not be cut out for to begin with.
Who the eff would do that to an effing teenager in good conscience?!
Perez Hilton is spot on.