Madonna has been getting a lot of press lately. Her Madgesty has always had such a great body, finely toned and trim. I have watched her as I grew up belting out hit after hit. Lately many are speculating on what she has done to her face. New York Magazine did a feature this month on the "NewNewFace", and described what we as plastic surgeons have been doing for a while: adding volume instead of taking it away (remember the thin and bony faces that look too tight on Madison Avenue circa 1990?), tightening the foundation of the face instead of the skin itself in facelifting so that there's no excessive tension leading to that wind-tunnel look. We've also seen an uptick of women getting injectable fillers and Botox as an earlier or as an alternative to surgery. Let's see how they stand the test of time.
Looking at the photos, it looks like Madonna may have had some fillers to the cheeks, nasolabial folds, and lips (can't tell which one--could be one of the hyaluronic acid fillers like Restylane or Juvederm for lips or folds, Sculptra or Radiesse to the cheekbones, or even her own fat taken from elsewhere on her body. She also may have had a mid-facelift (or some variant of a "mini" or short-scar facelift) and upper and lower lid blepharoplasty to give the eyelids a little lift and give her upper lids a clean sulcus and a more rested appearance. Also, Botox can lead to her brows elevating and arching a bit (a "chemical" browlift as some call it) and smoothening the forehead by selectively paralyzing the muscles there.
Altogether an interesting article, good to see my hospital Manhattan Eye and Ear mentioned in it!
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