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Plastic Surgery-The Male Factor

Posted on by Randal Haworth
Man running
Exercise is hard work

For the last eight years or so, I, as one of the foremost cosmetic injection experts in Beverly Hills, have noticed an increasing number of men seeking aesthetic improvement outside of diet and exercise. However, I see this growth as less a trend and more of a real shift in the industry.

This growth is spurred on by society’s reliance on visual rather than written communication and its unabashed obsession with youth and beauty over old-fashioned wisdom and experience. The eruption of social media, including Instagram and the like, has only heightened the problem. It has awakened our once dormant  narcissism into the self-perpetuating collective contagion that it is today. 

Consequently, there is less social stigma for men to seek out ways to better their appearance in this highly competitive world. In 2018, more aesthetic technologies are finally delivering on their promises to reduce wrinkles, firm faces, reverse atrophy and sculpt bodies without hair. The armamentarium used includes Botox, Jeuveau( or #Newtox), Juvederm, Vollure, Restylane, Radiesse,Voluma, Bellafill, IP, laser hair removal and other lasers to treat brown discoloration, and red patches. Men are not only seeking out ways to keep themselves looking young and competitive but also non-surgical ways to actually enhance their features; these include filler/liquid nosejobs (rhinoplasties), cheek and chin augmentations and jawline defining and even laser induced fat burning with SculpSure..

All done with the expert hands of a board certified plastic surgeon or his personally trained expert nurse injectors (such as Katherine Braun, R.N. helming The Haworth Institute’s own medispa, Self-Centered Aesthetics™), results which are both significant and, most importantly, natural.  This is ideal for men wanting their appearance to be on point in order to compliment their skill set at work.

No cutting, no stitches, less recovery, less expense- what’s there not to like for those men who simply want to look good with minimal expense and time? 

Get the London Goheen look! American model, 21, reveals how she keeps her derrière toned

Posted on by Randal Haworth

American model London Goheen, 21, didn’t achieve her pert derrière and perfectly toned legs overnight. 

And on Saturday, the brunette beauty went extra hard at the gym after eating an epic cheat meal the night before.

Taking to Instagram, London shared an intense workout video of herself in a barely-there gym outfit that revealed her exercise secrets.

Get the London Goheen look! American model (pictured), 21, reveals how she keeps her derrière and glutes toned in barely-there workout outfit

The model wore skin-tight pink exercise shorts and a skimpy bralette that could barely hold her assets. 

Lunge enthusiast: London performed two lunge exercises, curtsy lunges (left) and normal lunges (right), saying she always uses a 10-pound weight, which is roughly 4.5 kilograms

For the third exercise, London did weighted curtsy lunges with a 10-pound weight, which is roughly 4.5 kilograms. 

The 21-year-old then finishes of the workout with normal weighted lunges and leg extensions on a workout machine. 

With a focused look on her face, London appeared to get extra hard at the gym on Saturday morning after a huge cheat meal on Friday night. 

Taking to Instagram, the model revealed she ate a pepperoni pizza, chicken wings and three ice-cream sandwiches with the caption: ‘Yes, this is all for me and me only.’

Hard work pays off! London shows off the fruits of her labour in the gym with sizzling Instagram posts in barely-there bikinis  

Treat yourself! The night before her morning workout, London ate a pepperoni pizza, chicken wings and three ice-cream sandwiches with the caption: ‘Yes, this is all for me and me only.’

Last year, photos emerged of the stunner showing the extent of the extraordinary transformation she’s managed to achieve since her days as an ordinary high school student in the US. 

‘Specifically, her slightly bulbous tip has been narrowed to form a perfect streamline with her thin nasal bridge. All in all, it’s good work,’ he added.

Dr. Haworth further speculated that London has augmented her lips with filler to create a more ‘sensual’ look.

‘Her lips have been obviously augmented, most likely with a hyaluronic acid filler such as Juvéderm, Volbella or Restylane,’ he said.

Refinements: Dr Randal Haworth told Daily Mail Australia in December that he believes the Texan has undergone rhinoplasty in addition to having non-surgical lip fillers. Pictured left: In her teenage years, and right: in 2018

In January, an eagle-eyed fan noticed London had previously admitted to breast implants on her Instagram account.

‘Where did you get your breast augmentation you look amazing,’ one fan asked, to which London replied, ‘Houston’.

London first made headlines in September when Reece Hawkins, 24, publicly confirmed they were dating.

Are they engaged? In June, London sent fans into a frenzy with a not-so-subtle set of emojis on a loved-up Instagram post with her beau. It was captioned with a ring, love-heart and baby icon

The new relationship, which began just a few months after Reece ended his engagement to fitness model Tammy Hembrow, left millions of fans devastated.  

In June, London sent fans into a frenzy with a not-so-subtle set of emojis on a loved-up Instagram post with her beau.

Captioning a photo with a ring, love-heart and baby icon, the 21-year-old’s social media upload was flooded with comments congratulating the couple.

End of an era: It’s been over a year since Tammy announced her split from her ex-fiancé and the father of her two children, Reece Hawkins (left)

BY DAILY MAIL

Plastic Surgeon and the Anesthetist

Posted on by Randal Haworth

How do I chose local, regional, sedation or general?

General generally means endotracheal tubes

Essentially there are three types of anesthesia:

1. Local anesthesia-the type a dentist gives you while you’re totally awake

2. IV sedation or “twilight sleep“. A sedative is administered intravenously to induce a deep state of sedation. 

3. General anesthesia-Sedative agents are administered both intravenously as well as through endotracheal breathing tube into the lungs.

Though the most consider IV anesthesia as being safer, ironically it can be more dangerous. Unlike general anesthesia, IV sedation does not use a breathing tube to prevent a patient’s airway from closing if sedation gets too deep. Actually, this can happen many times during an operation and that is why the anesthesia provider must stay hypervigilant to deliver enough sedation to maintain a patient’s unconscious state but not enough to stop them breathing on their own.

There are two types of patients when it comes to anesthesia-those who are very wary of any anesthesia, let alone general and those who want full general anesthesia without hesitation. Obviously, the choice as to what type of anesthesia is used during plastic surgery is a collaboration between the patient and the surgeon. 

As a Beverly Hills plastic surgeon, creating human artwork involves deep concentration, precise technique, a painstaking attention to detail and unlimited patience. Therefore I want my patient to be perfectly still, comfortable and safe so I can do my very best without being distracted,  even if the surgery is only “skin deep”. This is why I, as a facelift expert in Beverly Hills, perform my facelifts and detailed hyperaesthetic facial surgery under general anesthesia. I feel I can deliver the best results I can while the patient is comfortable and safe.

I utilize general anesthesia for most of my high-definition body-sculpting, abdominoplasties and breast enhancements to enable me to go that “extra mile”. It’s all too often I hear patients complain about their underwhelming results from surgery performed under IV twilight sleep. This is because surgeons are constrained in what they can fully achieve by a moving, uncomfortable patient. In Beverly Hills, standards are high and patients expect the best and this is why they come to my clinic from across the world for their results and not for the type of anesthesia they receive.

However, there are many situations in which I feel IV sedation is better for the patient. Those requiring modest amounts of work where pain control can be easily supplemented by injected local anesthesia are best served with twilight sleep. Generally, shorter surgeries of the skin and subcutaneous tissue but above muscle fall into this category.

endotracheal tube passing through the vocal cords
An image of the endotracheal tube passing through a patient’s vocal cords

In the end, it all boils down to the concerns and expectations of the patient and how best the surgeon is able to fulfill them. However, most honest surgeons, whether in Beverly Hills or anywhere else for that matter, would agree that their most detailed and precise work was performed under general anesthesia

Has the Upper Lip Lift gone Mainstream?

Posted on by Randal Haworth

Blanketing Instagram may be the pout of the moment: an ample, upturned mouth revealing front pearly whites. It’s a look that has generated a fresh trend in cosmetic surgery: the lip lift. “Social media is driving a whole lot of esthetic selections,” says Andrew Jacono, a Park Avenue cosmetic surgeon, but “the voluptuous lip is not something you may get with injections. Filling lips only makes them appear to be sausages but doesn’t change their condition. Only the upper lip lift can naturally turnthe lip up and out.” The 30-minute office procedure excises tissue from just underneath the nose to shorten the distance between nose and mouth, causing the top lip to relax a bit, exposing more teeth, or “tooth show.” In Gen Z’ers and young millennials, it gives an ideal selfie pout; in older candidates, it can shave up to 7 years from the countenance ($3,000-$10,000).

As upper lips age, they elongate to eventually hide the upper teeth, while lower lips drop to expose the bottom teeth. Beverly Hills plastic surgeon Randal Haworth says lips, like breasts, go over time south. “When Angelina [Jolie] was 19, she had an insouciant mouth and had the Bardot upper tooth exposure ,” he says. “Nowadays her lip is starting to hide her teeth. It is the same with Jane Fonda.” Jacono offers that face-lifts improve the corners of the mouth but don’t address the problem: “Shortening the top lip is probably the most effective esthetic procedures I really do.”

Some surgeons will work with dentists to coordinate how much teeth to show.

“Showing 2 millimeters of tooth while you are at rest is ideal,says Manhattan esthetic dental professional Lana Rozenberg, who claims patients once requested heavier veneers to push away the lip for pout.

Now the Bugs Rabbit look can’t be avoided can be avoided, with surgeons just like NYC’s Oren Tepper working with esthetic dentist Jonathan Levine to open LipSync. “Ten years past, there was an ‘aha’ moment when hands were an era giveaway. Now we realize the mouth is a lot more telling, ” says Tepper.

A before and after of a conservative upper lip liftA before and after of a conservative upper lip lift
A conservative upper lip lift result accompanying the Hollywood reporter article, performed by another plastic surgeon. result accompanying the Hollywood reporter article, performed by another plastic surgeon.

There is one disadvantage to a lip lift; its scar. “You can hide part of the incision inside the nostrils, but there is usually always some visibility at the bottom edge of the nasal area, ” says Beverly Hills cosmetic surgeon Leif Rogers, adding “If not done properly, it can change the look of the nose. “

Dr. Haworth acknowledged this as a problem about 15 years ago, ever since patients began complaining of this subtle nasal change. He realized there were two factors playing a part in this:

  1. Excess tension around the incision line where the upper lip attaches to the nose and …
  2. When the incision is made into the nose in a good faith attempt to hide the scar.

This led him to evolve his methods as a necessity to meet the increasingly discerning tastes of his patients. “Cutting into the nasal still can be a disaster even though it is motivated by goodwill towards the patients. By cutting into the nose, it breaks the circular stability of the nostril itself thus allowing it to “unfurl” and migrate inferiorly.

Another thing I have discovered is that when a lip lift is performed, it mustn’t just resist the downward forces of gravity but it must also resist the hundreds of thousands of mouth movements that occur per day. That’s why I needed to develop the OOS Upper Lip Lift which involves securing the upper lip to the strong lining of the bone around the base of the nose (periosteum). This technique is clearly superior to any skin-only lip lift whether it is modified or not. This results in a superior results in terms of beauty, scarring, lack of nasal distortion and longevity.

http://upperliplift.com

What happened to Jessie Habermann’s face? Footy WAG displays a noticeably smoother jawline at a Mother’s Day lunch – amid rumours she transformed her looks with Botox and fillers

Posted on by Randal Haworth

She’s rumoured to have undergone various cosmetic procedures in the past.

And Jessie Murphy (née Habermann) looked noticeably different while attending a Mother’s Day luncheon in Melbourne on Friday.

The footy WAG’s jawline looked more ‘square’ than usual, especially when compared to older photos that show her with a distinctive pointy chin. 

What happened? Jessie Habermann’s jawline looked more ‘square’ than usual on Friday, sparking rumours she’s undergone cosmetic enhancements. left pic Jessie now, and right pic what she looked like in 2016

The apparent change in Jessie’s chin shape means her once heart-shaped face has taken on more oblong dimensions.

Meanwhile, the tip of her nose also seems more lifted and refined, and her complexion looks remarkably taut and wrinkle free.

It comes after leading plastic surgeon Dr. Randal Haworth said that Jessie may have ‘stayed ahead of the game’ with the help of cosmetic procedures.

Tweaks? Last year, plastic surgeon Dr. Randal Haworth said that Jessie may have ‘stayed ahead of the game’ with the help of cosmetic procedures. left pic Jessie in September 2018, and right pic in 2009

Speaking to Daily Mail Australia in October 2018, Dr Haworth said he believes Jessie has undergone a breast augmentation, as well using Botox and fillers over the years. 

‘I am quite confident she has neither changed her nose nor augmented her cheeks or jawline [surgically],’ said the Beverly Hills-based surgeon.

‘However, her face does seem more elegantly defined perhaps with the help of a little makeup alongside a loss of “baby fat”.’ 

Dr. Haworth also observed that Jessie’s eyebrows appear to have subtly heightened over the years, and her lips have increased in size.

‘Her eyebrows in certain photographs appear elevated into a more graceful arch which, at her age, was most likely attained with Botox,’ he claimed.


Evolution of Jessie: A modelling photo of Jessie from several years ago shows her with smaller breasts and thinner lips

The celebrity doctor added: ‘A hyaluronic acid filler such as Juvéderm or Restylane was the most likely culprit behind her present, pleasingly plump lips.’

Since Jessie began dating her now-husband, Carlton captain Marc Murphy, in 2011, her changing appearance has sparked cosmetic surgery rumours.

Images from the late 2000s show her looking noticeably different compared to recent photos, sporting a smaller cup size and thinner lips. 

Just makeup? Today, Jessie’s overall face shape appears thinner and her lips plumper when compared to older photos. Pictured left: in 2009, and right: in March 2019

Dr. Haworth added: ‘What is most obvious [today] is her augmented bosom. Certain dresses reveal unnaturally round breasts with clearly defined edges. 

‘To me, that spells breast augmentation until proven otherwise. Despite this, I feel the size of her breasts do complement the rest of her body.’ 

He concluded: ‘All in all, I feel Jessie has matured into a young beautiful woman who is obviously comfortable in her own skin.’ 

Surgery: Dr. Haworth also believes Jessie has likely undergone a breast enlargement.  Pictured left: in 2013, and right: in September 2016

‘They’re 39 years old and going south!’ Sophie Monk denies rumours she had a boob job… after flaunting her jaw-dropping figure in the Maldives

Posted on by Randal Haworth

She has been the subject of boob job rumours for well over a decade.

But Sophie Monk has officially denied having a breast enlargement, telling her Instagram followers on Sunday she is all natural.

After fans were left gobsmacked by footage of her on holiday in the Maldives, the former Bardot star denied she was showing off her ‘new boobs’. 


‘They’re 39 years old and going south!’ Sophie Monk has denied longstanding rumours she had a boob job… after flaunting her jaw-dropping figure on holiday in the Maldives (pictured) 

‘New boobs?’ one of her followers commented, to which Sophie swiftly replied: ‘They’re 39 years old and going south.’

Sophie, who turns 40 in December, has long been accused of going under the knife

Have your boobs somewhat grown?’ After fans were left gobsmacked by footage of her on holiday in Maldives, Sophie denied on Sunday she was showing off her ‘new boobs’


Rumour has it! The speculation began after Sophie shared a video of herself walking out of the ocean dripping wet in a skimpy red bikini. One person commented, ‘New boobs?’


She’s all natural! Sophie swiftly replied, ‘They’re 39 years old and going south’  

She previously denied having a breast enlargement in 2014.

Speaking on 2DayFM‘s breakfast show, Sophie claimed that that if she were to have surgery on that area it would be a breast reduction.

‘I want a boob reduction. They’re a 32D and at times a DD, and they get in the way when I do sports,’ she said at the time.

‘But doctors told me to leave them alone, women die for those things!’


Love Island! Sophie is currently on holiday in the Maldives with her new boyfriend, Josh Gross

Gossip: Sophie previously denied having a breast enlargement in 2014. Pictured in West Hollywood, California on July 8, 2010

Last year, Sophie sparked rumours she’d undergone Botox and lip fillers after displaying noticeably fuller features during a TV appearance.

While being interviewed on the Today show in November 2018, her lips appeared much plumper compared to when she filmed Love Island earlier that year.

At the time, Beverly Hills-based cosmetic surgeon Dr. Randal Haworth said Sophie had likely ‘taken full advantage of some non-surgical cosmetic options’.

Hmm! Last year, Sophie sparked rumours she’d undergone Botox and lip fillers after displaying noticeably fuller features during a TV appearance. Pictured left: Sophie on the Today show in November 2018, and right: on set of Love Island earlier that year

Born to be wild! Tammy Hembrow looks unrecognisable in a newly unearthed hip-hop music video from 2014 – which shows the fitness model smoking and drinking

Posted on by Randal Haworth

efore making a name for herself on Instagram, Tammy Hembrow starred in an outrageous hip-hop music video.

A newly-unearthed YouTube video shows the now 24-year-old letting lose in the clip for underground Aussie hip-hop band Mr Hill & Rahjconkas’ 2014 single, Non Stop.

The video was uploaded in April 2014, and five years later, Tammy is virtually unrecognisable from her former self.


  • Who’s that girl? Five years later, Tammy Hembrow is virtually unrecognisable from her former self. Pictured on Monday

  • Wild child: In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks

Now and then: Before making a name for herself on Instagram Tammy Hembrow was starring in rap music videos. Pictured left in a 2014 music video, and right on Monday
Compared to her current appearance, Tammy’s face appeared to be much fresher, bearing classic girl-next-door good looks.

Her lips appear smaller, her face is less full, and her nose looks much different.

Even Tammy’s hair is a different hue, having once been a golden blonde compared to the platinum she’s known for now.


Wild child: In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks

Natural beauty: Compared to her current appearance, Tammy’s face appeared much more natural looking, bearing classic girl-next-door good looks

In an interview with Daily Mail Australia in August 2018, Beverly Hills plastic surgeon Dr Randal Haworth claimed Tammy may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look. 

‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr Haworth claimed at the time.  

He added: ‘Specifically, her jawline is more defined into a “V-line”. I would even venture to say her chin has been shortened and narrowed compared to her teenage years.’


Golden girl: Even Tammy’s hair is a different hue, having once been a golden blonde compared to the platinum she’s known for now

Helping hand: In an interview with Daily Mail Australia in August 2018, Beverly Hills plastic surgeon Dr Randal Haworth claimed Tammy may have undergone a nose job, liposuction and dermal fillers to achieve her bombshell look

Dr Haworth also believes her V-line chin could have been achieved through either ‘liposuction or bony chin modification’.

He also acknowledged that ‘losing her “baby fat” may have been a contributing factor’ to the visible changes in Tammy’s jawline.  

Furthermore, Dr Haworth claimed that Tammy may have undergone a rhinoplasty to fine-tune her look, saying: ‘A subtle, balanced rhinoplasty to narrow her nasal bones and refine her tip may have been carried out.’


Finger licking good: At one stage in the music video, she’s seen seductively licking the screen of her iPhone

Sharing is caring: Another scene from the music video shows a girl squirting a liquid out of her own mouth and into Tammy’s open mouth

‘Based on what I presume to be filtered photos, she has undergone a striking transformation of not only her facial features but also of her facial shape,’ Dr Haworth told Daily Mail Australia

He also suggested that Tammy’s cheekbones look more sculpted and angled upwards in recent photos, while her eye-hollows appear less apparent.

Both of these changes are likely to have been carried out with a filler such as Voluma or Restylane Lyft, or even achieved via fat transfer. 

According to Dr Haworth, Tammy’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance.


Giving cheek: Dr Haworth has also suggested that Tammy’s cheekbones look more sculpted and angled upwards in recent photos, while her eye-hollows appear less apparent

Drink up: The hard partying music video shows Tammy having drinks poured directly into her open mouth

He claimed: ‘Like Kylie Jenner, Tammy has been originally inspired by the Angelina Jolie lip variety. Paradoxically, lips oversized for a face can mature the visage beyond its years.’

In the music video, Tammy can be seen puffing on a cigarette while swigging back drinks.

At one stage, she’s seen licking the screen of her iPhone, before another girl squirts a liquid out of her mouth into Tammy’s open mouth.  


Lip service: According to Dr Haworth, Tammy’s lips have also almost certainly been enhanced due to their ‘overly plumped’ appearance

Want a body like London Goheen? The American model, 21, shares her tips and a surprisingly easy derrière workout in a racy new video

Posted on by Randal Haworth

American model London Goheen, 21, regularly sets pulses racing with her steamy bikini-clad selfies. 

And on Saturday, the brunette beauty shared her workout secrets for achieving a toned derrière. 

Taking to Instagram, London shared a racy video of herself doing one of her typically intense workouts at the gym


Want a body like London Goheen? The 21-year-old American model has shared her workout secrets in a racy clip of her in the gym with her doing a number of leg raises and deadlifts

In the footage, London is first seen doing leg bends, and tells fans she does the exercise 15 times, for three sets.  

The brunette beauty then demonstrates a number of leg raises, and says she does the movement 30 times, for three sets. 

London then moves on to weighted lunges, with her doing the movement 15 times with two two-kilogram hand weights.  

The model ended the surprisingly simple workout with 30 bench step-overs and three sets of 15 deadlifts. 

Last year, photos emerged of the stunner showing the extent of the extraordinary transformation she’s managed to achieve since her days as an ordinary high school student in the US.

   
Let’s get physical: Clad in skimpy workout gear, London showed off her surprisingly easy workout in the gym, with her doing leg raises and a series of weighted lunges

Dr Randal Haworth told Daily Mail Australia in December that he believes the Texan has undergone rhinoplasty in addition to having non-surgical lip fillers.

The Beverly Hills-based surgeon also suggested that London refined her appearance in order to improve her chances of modelling success.

‘It is clear to me her previously pleasing nose has been further refined with rhinoplasty,’ said Dr Haworth.

Transformation: London has overhauled her appearance with rhinoplasty and fillers, according to a leading cosmetic surgeon. Pictured left: In her teenage years, and right: in 2018

‘Specifically, her slightly bulbous tip has been narrowed to form a perfect streamline with her thin nasal bridge. All in all, it’s good work,’ he added.   

Dr. Haworth further speculated that London has augmented her lips with filler to create a more ‘sensual’ look.

‘Her lips have been obviously augmented, most likely with a hyaluronic acid filler such as Juvéderm, Volbella or Restylane,’ he said.

In January, an eagle-eyed fan noticed London had previously admitted to breast implants on her Instagram account. 

‘Where did you get your breast augmentation you look amazing,’ one fan asked, to which London replied, ‘Houston’.   

London first made headlines in September when Reece Hawkins, 24, publicly confirmed they were dating.

The new relationship, which began just a few months after Reece ended his engagement to fitness model Tammy Hembrow, left millions of fans devastated. 


Case of the ex: London is in a relationship with Reece Hawkins, the ex-partner of Instagram sensation and fitness model Tammy Hembrow (pictured)

Glamour girl! Instagram sensation Tammy Hembrow attends an awards show in LA – as a plastic surgeon says she needs to ‘take a break from fillers’

Posted on by Randal Haworth

Tammy Hembrow is rapidly becoming household name in the U.S.

She looked suitably glamorous arriving at The Daily Front Row Fashion Awards at the world-famous Beverly Hills Hotel on Sunday.

The Australian Instagram sensation, 24, attended yet another red carpet event in Los Angeles over the weekend.

But as she posed for photographs before the awards ceremony, Tammy’s face looked noticeably puffy compared to just a few months ago. 

Her appearance may be the result of excessive fillers, according to leading plastic surgeon Dr Randal Haworth. 

Dr Haworth has ‘praised and defended’ Tammy’s aesthetic in the past, but believes that recent changes to her looks are ‘counterproductive’.

‘People flock to emulate their favourite celebrities and sport the latest styles, even if they look ridiculous in the process,’ he said. ‘They can lose sight of their end goals when reaching for “aesthetic perfection”.’

According to the cosmetic specialist, Tammy’s ‘face is fuller’ than perhaps it should be and her features seem ‘exaggerated’. 


Too far? According to Dr Haworth, Tammy’s ‘face is fuller’ than perhaps it should be and her features seem ‘exaggerated’. Pictured on Friday, March 8

MADONNA’S transformation

Posted on by Randal Haworth

MADONNA’S DESPERATE MIDLIFE MAKEOVER !!

LOOKS LIKE A SURGEON’S BEEN WORKING HARD

Who’s that girl ?”

Buffaloed by father time and rattled by the success of her nemesis Lady Gaga, insiders dished Madonna has invested in a massive cosmetic makeover to word off a crippling to experts , the “crazy for you ” singer has gone crazy for youth-enhancing procedures , and likely gone under  the knife for an eye lift , brown lift and face- lift plus filler injections ” she looks completely unrecognizable ! tattled a source close to the 60 year old material granny “.

“Madonna has had a ton of work done , but it hasn’t been flattering . she’d do better to just grow old gracefully !!”

Leading celebrity plastic surgeon Dr .Randal Haworth agreed. “No mere mortal would look as smooth and tight as Madonna appears without cosmetic intervention” said the Beverly Hills – based surgeon known for the reality TV  series “The Swan”. “The outer edge of her lower eyelid has been lifted and pulled away from the socket. This was done to tighten and elevate the lower lid into a tilted almond shape. I also suspect a brow lift to accentuate her outer eyebrow arch.”

“The outer edge of her lower eyelid has been lifted and pulled away from the socket. This was done to tighten and elevate the lower lid into a tilted almond shape. I also suspect a brow lift to accentuate her outer eyebrow arch.”

Dr . Matthew Schulman ,a new York – based board – certified plastic surgeon , estimates the ” like a virgin ” singer spends upward of 10,000$ on her face each month , thanks to a regular battery of filler injections !

Dr . Haworth also noted the entire shape of Madonna’s face has been altered , saying : “it’s more slender and definitely tighter with a conspicuous absence of jowls and natural folds ! these are the signs of a face – lift! “

The former blond bombshell has also dyed her hair and opted for a new hairstyle that ” conveniently hides her face – lift scars ,” he added . recently the national enquirer revealed the matronly star was sporting a Colossal new caboose –with Dr . Anthony Youn pointing out that the excess junk in Madonna’s trunk was due to either butt implants or massive pads in her pants !

The “into the  groove ” singer has even given herself a new  pair of hands , as enquirer readers learned last summer ! her mitts look ” smoother and more youthful  than they have in years ! ” said Dr . Youn .

The insider sniffed : ” its all part of an effort on her  part to try to find the fountain of youth ”

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