Madonna's rep Liz Rosenberg tries to explain those crazy cheekbones

**barrington** · July 29th, 2008, 10:26 PM

Everybody has a bad angle, even Madonna.

The singer, 49, was photographed Friday leaving the Kaballah Center in New York looking gaunt and tired. But pictures can lie, says her publicist.

"I just think the photographer got a bad shot of her or it was touched up to make her look bad," says her rep Liz Rosenberg. "I saw Madonna two days before at her rehearsal and she looked amazing – glowing skin and working really hard on her show."

"She may look a little thinner than usual," continues Rosenberg, "but she was dancing and singing better than ever and ate a nice healthy meal."

Los Angeles plastic surgeon Dr. Jeffrey Hoefflin says weight loss can make for sharp cheekbones.

"From a physician who has never evaluated or treated Madonna, it's my impression that if she has lost significant weight, that you're seeing a good amount of facial fat loss in her face," he tells PEOPLE.

"The cheekbones can often stand out, appearing as [though] someone has undergone some form of mid-face enhancement," he adds.

As for the expression on Madonna's face in the photos, her rep joked, "Maybe she was getting ready to hurl a spitball at somebody."

Could it be the stress of the recent the rumors about her marriage? No, says Rosenberg.

"She's working hard rehearsing eight hours a day for her tour," says the rep, who also called rumors that the singer ghost-wrote parts of her brother's tell-all book "ludicrous."

"If she had anything to do with that book, it would have been better written and more eloquent," says Rosenberg. "To say Madonna needs publicity is insane. Her ticket sales are amazing. And she's in a great space."

Source: People

**NicoleWasHere** · July 29th, 2008, 10:33 PM

Of course the publicist is gonna say nice things. She knows Vadge would kick her ass up to her tits, otherwise.

**Cali** · July 29th, 2008, 10:42 PM

Originally Posted by barrington

Everybody has a bad angle, even Madonna.

As for the expression on Madonna's face in the photos, her rep joked, "Maybe she was getting ready to hurl a spitball at somebody."

A spitball? Really?

Thats the best that Madonna's supposedly top-notch publicist can come up with? No wonder she's in all the rags.

**LovintheAfternoon** · July 29th, 2008, 10:43 PM

a spitball

ITA... interesting explanation for looking like the cat woman mashed up with the elephant man!

**NicoleWasHere** · July 29th, 2008, 10:49 PM

Everyone knows Madonna blows spitballs out of that all mighty roid-vadge at full power, NOT her mouth.

**Rosamund** · July 29th, 2008, 11:00 PM

Yeah...it's a bad angle! I believe it, Liz Rosenberg.

She looks sooo skinny there and just...ill

**spinmonkey** · July 29th, 2008, 11:20 PM

It was multiple photos...so were they ALL bad angles?

**crackho** · July 29th, 2008, 11:22 PM

Its a set of cheek implants that matched her face 10 lbs ago is what it is. Now her face is nothing but silicone.

**angelais** · July 29th, 2008, 11:26 PM

Liz, c'mon. You have to come up with a better excuse than a bad camera angle.

Face it, Vadge looks horrid and her makeup person deserves every penny he/she gets for making her look half way decent in other photos.

**nycgirl** · July 29th, 2008, 11:30 PM

touched up to make her look bad? LOL come on, you can do better than that..... these spokeswhores think the public is really dumb, don't they?

**Beeyotch** · July 29th, 2008, 11:31 PM

Originally Posted by crackho

Its a set of cheek implants that matched her face 10 lbs ago is what it is. Now her face is nothing but silicone.

That's exactly what I thought! It did match her face 10, maybe 15 lbs. ago!

Or is there some sort of collagen injection procedure for the cheeks that produces that ridiculous amount of swelling? She looks like she can't even close her mouth all the way.

**angelais** · July 29th, 2008, 11:47 PM

Maybe she and Lara Flynn Boyle got a 2 for one discount.

**crackho** · July 30th, 2008, 12:13 AM

Originally Posted by Beeyotch

That's exactly what I thought! It did match her face 10, maybe 15 lbs. ago!

Or is there some sort of collagen injection procedure for the cheeks that produces that ridiculous amount of swelling? She looks like she can't even close her mouth all the way.

At first I thought she had fat injected into her face, or maybe a filler like restylan or other dermafiller, but now I think she actually had cheek implants. Wiki says:

Cheek augmentation is a cosmetic surgical procedure that is intended to pronounce the cheekbones in a person's face. People who want more prominent cheekbones can have an implant placed to rest on top of their cheekbones. A surgeon will usually make an incision in the upper mouth near the top of the gum line and slide the implants into place. Another method is to make an external incision near the eye, but most patients do not prefer this method since it can create a visible scar. However, the intraoral (inside the mouth) approach carries a higher risk of infection since the mouth contains more bacteria.
Cheek implants can be made of different materials and come in many different sizes and shapes depending on what the patient wants. The most common is solid silicone, however other materials can be used as cheek implants. The second most popular material is expanded polytetraflouroethylene (ePTFE), which is known to integrate well with internal tissue to prevent the implant from shifting out of place. Bone grafting can also be used to build up an individual's cheekbones as well as coral and other less common materials.
Cheek augmentations are usually performed under sedation or general anesthesia and take about one to two hours. Recovery from this surgery usually takes about ten days.[1]