Perhaps they advised against it - we'll never now - but ultimately it is her decision. It must be so difficult for someone like her to concede to the ravages of time. All very sad.
Madonna is over 60 and of course she has had work done.
The Mail have found a badly lit unflattering photo and and written a *** piece by our favourite Sarah Vine claiming the surgery has ruined her.
Google for proper portraits of Madonna, and you will find hundreds of photos of her looking half decent.
gromit - hardly go on tik tok and you will see videos she has posted herself where her skin looks super smooth and a tad greasy from all the creams used