Yes. She looks like a different person now and you can only do so much with make up/contouring. This is a peculiar type of surgery though because it made her look uglier than sin! I don't know maybe their goal was to make her fit the whole "insecure/bullied" charade of her BTW era so it would be easier to swallow for people after the glamorous, superficial & sexy Fame period.
Come to think of it, I think every BIG popstars has had some work done which makes all these "natural beauty" thread even more sad.
It's so easy to laugh
It's so easy to hate
It takes strength to be gentle and kind.