Madonna’s significantly modified face characteristics in a recent TikTok video provoked widespread outrage among followers on social media, who were horrified.

“What has she done to herself?” asked netizens of the now-deleted video.

According to a New York-based plastic surgeon, the Material Girl singer’s visage in the video has “a lot of issues.”

“Starting from the top, she’s had a bunch of Botox so her forehead doesn’t move at all,” the physician told the outlet.

“Her upper eyelids are also significantly dropped, what we call ptosis, and should be fixed,” he continued.

“The cheeks are way too filled with filler and she might have had too much buccal fat pad reduction to narrow her face too. The Lips are also out of proportion and too big for her,” the outlet quoted the surgeon.

The Swept Away star was known for her sharp features in the 1980s however her face has changed throughout her decades-long career.