How to get this face?

Found this person in the hub. They were AFK so could not ask them what face they used, but how come this looks like a female, and not some spawn of shrek like the options I have?

https://preview.redd.it/n1r9b7o6uqoh1.png?width=298&format=png&auto=webp&s=27e5101f2855d6c57f314697a65640c0003db29f