It starts out looking like misshapen cloth! You have no idea if it will work, but you keep going, just in case it will! Sculpting and stuffing at the same time till the features look something like it!
Then, what to use for hair? Her hair was flat and close to her head. Why not use this mesh? The colour is right.
Her Imperial Majesty, Queen Victoria. Exaggerated.
But from the side..
SFM Cloth dolls With Attitude!