Madonna says that she ows her perfect look to kabbalah and orienting to inner instead of outside beauty, but it is hard to believe that at the age of 56 years she has perfectly straight and smoothed forehead. it seems to me that madonna used botox.
Her forehead and eye area is unnaturally straight, especially if we take into account her age. She probably had a facelift and transplantation of adipose tissue or collagen implants. This is indicated by the hollows under the eyes that are not positioned as in her earlier photos.