EXCLUSIVE: Plastic surgeon charts Madonna's facial tweaks over the years after shocking photos of 65-year-old star emerge and spark health concerns

A New York plastic surgeon has charted the slew of cosmetic tweaks Madonna has had over the years - after fans raised concerns about her health. Board-certified surgeon Dr Barry Weintraub, who reviewed before and after images of Madonna, said he saw signs of at least 12 cosmetic facial procedures, which he estimates would have cost 'multiple six-figure sums'. Dr Weintraub said one of the most obvious changes was to her cheeks— which are now 'inflated' and 'much fuller', likely due to multiple dermal filler injections, which see gel-like substances injected under the skin. The above video was posted by the star in October last year, but has recently resurfaced online 2008: After Madonna appeared to display facial bruising in 2008, fans began to speculate that she had undergone lower eyelid surgery 2021: Madonna's changing appearance began to cause concern among fans who have speculated how she achieved her remarkably smooth visage He added: 'If you look at her '86 picture, she had a nasal-labial fold like a normal person — that's a crease going from the corner of the nose to the mouth,' he said. 2023: Dr Horn believes Madonna not only had a 'facelift' - which he said was 'obvious because her skin' appeared 'tight and pulled back with no wrinkles' The picture of Madonna from within the last year has recently re-surfaced on social media, sparking concerns among fans over the 'painful' appearance.