Have age and stress launched a shocking attack on Madonna's face?
By David Wilkes
Last updated at 11:54 AM on 28th July 2008
Dressed up to the nines and wearing plenty of make-up, Madonna still manages to look pretty sensational for a woman rapidly approaching her half century.
But bare-faced and in short sleeves, she reveals some of the gruelling health and beauty regime behind the glamour.
Madonna, seen holding hands with her daughter Lourdes as they left a Kabbalah centre in New York, wore a T-shirt which exposed the veins standing out on arms subjected to endless workouts.
Facing facts: Has time finally caught up with Madonna? She arrived at a Kabbalah meeting last week, left, looking less than her normal radiant self
Her swollen face renewed speculation that she is relying on more than yoga, the gym and a macrobiotic diet to ward off the effects of ageing.
She has remained enigmatic on the subject of cosmetic surgery, saying: 'I am certainly not against plastic surgery; however, I am absolutely against having to discuss it.'
Harley Street plastic surgeon Angelica Kavouni said: 'In my opinion, it is likely she has had filler in her cheeks because they are so full. There is no loose skin at the jawline which is also extremely unusual for someone her age. Typically, that is something we achieve through a lower facelift.
Originally Posted by noonwitch
