I was a little hesitant to pick retinoids because she would need a pregnancy test and should be on contraceptives before initiating it (d/t teratogenic effects)
Since she is attending a wedding in 3 weeks and is concerned with her looks, I suspect that she might looking to play bury the sausage or whatever the kids call it nowadays.
marfans patient (long arm span, tall, hyperextensible fingers) with early diastolic murmur that radiates to apex = AR