Madonna - What Has She Done? (photo)

Many celebrities use a combination of modalities. One of the most requested treatments these days is the Ulthera non surgical facelift and necklift. Raffy Karamanoukian Los Angeles

Judging by your photographs (always good to see a few different angles), I see some descent of the tissues of the face, jowl, and neck.  There are also platysmal bands present in the center of the neck.  I would recommend a submental platysmaplasty and a lower face / neck lift.  Generally, I am not an advocate for midface lifting because the look can be unnatural.  I would advocate autologous fat grafting (conservatively performed). Madonna has had nice work done although I believe that she was excessively augmented in the cheek / midface region.

   Short scar facelift is like a minifacelift just more poweful.  This has the same incision pattern, but the amount of undermining and correction is greater.  The result is natural and not windblown.  I would recommend facial fat grafting to the cheeks as well to create the high cheekbone look. Subtle changes in your very thin lines can made with laser resurfacing, chemical peel, or superficial filler placement.