How much have they changed? Stars before and after cosmetic touches

Over the years, Madonna has undertaken a strategy to stay young forever. She's had some help of beauty treatments, of course.

Here you can see Madonna, then and now. Does she look very different?

A lot of other stars appear to have changed their appearance with cosmetic procedures. How different do they look from before?

Nicole Kidman has used quite a few strategies to keep looking young. It has led her to lose some of the expressiveness of her face.

Former boxer Mickey Rourke has turned to surgery and other cosmetic procedures for over 30 years now.

Cher has been the representative of celebrity cosmetic surgery for decades. She's proud of it and often complimented, too. Born as Cherilyn Sarkisian, this is what she looked like as a young woman versus today.

The Kardashian family loves cosmetic surgeries and touch-ups. So it's no wonder Kylie Jenner joins this list.

Khloe Kardashian has made radical changes to her entire body. She got slimmer and changed the form of her face.

Better known as Monica Geller on 'Friends,' the actress looks different after her foray into botox and cosmetic touch-ups. The transformation was suitable for her role in the series 'Cougar Town'.

The tough 'Rocky' actor has also turned to cosmetic surgeries and touch-ups. This is the before-and-after.

Her transformation made a huge impact on the red carpet. Little was left of that innocent Bridget Jones with her coquettish expressions. A new, more serious Renee Zellweger was in town.

Pamela Anderson will be eternally beautiful and no one can replace her in 'Baywatch.' Still, her passage through the operating room is more than evident.

See how the rest of the 'Baywatch' cast has changed over time

In 2021, photos of Demi Moore at the Paris Fashion Week went viral, because they seemed to reveal some serious reconstruction of her cheekbones. However, as she later declared, that was only an effect of the makeup.

Mary-Kate Olsen (born in 1986) has had a turbulent life so far, and it has definitely included some aesthetic touch-ups.

Tom Cruise strives to maintain a perfect face, whatever the cost. He seems to be doing quite well, doesn't he?

Of course there's another Kardashian on the list. How different does Kim Kardashian look from her earlier self?

See more photos: Kim Kardashian, then and now

In her tireless quest to stay young and beautiful, Donatella Versace has met with her own destruction. The fashion designer has become one of those representing the consequences of too many cosmetic touch-ups.

With or without retouching, Megan Fox is and remains one of the most beautiful women on the big screen, right?

It seems that not only her hair (the big pony tail) changed Ariana Grande's angelic face. If you look carefully at the photos of the young singer, it seems that she's also had some retouches done - or is it just the effect of makeup?

Although the protagonist of 'Sex and the City' continues to be graceful, she cannot deny that a touch-up has taken place on more than one occasion.

The same goes for another protagonist of 'Sex and the City.' As Samantha, she impressed us with her spectacular appearance and funny facial expressions. Now, her smile is a bit more reserved thanks to the botox injections.

In addition to having undergone major transformations in his career, he has undergone major transformations in his face. How different does the actor and former California governor look today?

She was with the trio Wild Orchid before getting her big break with the Black Eyed Peas. By then, she'd already changed her facial expression significantly.

This icon of the catwalks has totally changed since adolescence. Is it just lifestyle changes and makeup, or have her nose, lips and cheek been retouched by cosmetic procedures?

Little remains of that Meg Ryan from 'When Harry Met Sally' or 'Sleepless in Seattle.' That's because she's had some adjustments on her lips, eyebrows and cheekbones. The former actress continues to have her original charisma though.

Zac Efron's appearance on TV in April 2021 raised a lot of questions. Did he have surgery or had we just never seen his jaw from this angle?

Melanie Griffith is one of the few Hollywood stars who has openly confirmed that she uses cosmetic touch-ups, botox and other treatments that help her preserve the beauty that she wants to have.

The photo of on the left is already one from his 'later' years, as by that time 'Grease' was already a decade or so behind him. Do you think John Travolta changed a lot since the 90s?

This Bronx diva has gone through a lot of changes in the past decades - both professionally and personally. What about her appearance, does it look like she changed a lot?

Although she began her career with black hair and a few extra pounds, Shakira doesn't seem to have gone through a lot of other changes - or has she?

Spanish actress and Australian resident with Chris Hemsworth by her side, Elsa Pataky has made a few little changes, or so it seems.

The Disney star has been on TV since she was a little girl. So of course we notice the changes in her appearance, whether it's from aging or fillers.

We have known Lindsay Lohan since she was a child actress, and we have seen her change a lot over the years.

He was the King of Pop but also the King of Cosmetic Procedures. Michael Jackson changed a lot of things, most obviously his nose, chin, cheekbones and mouth.

She followed her brother only a little bit. Janet Jackson has had some retouches but still looks bright and shiny.

The famous actress from Tarantino films like 'Pulp Fiction' and 'Kill Bill' appeared at a 2018 Hollywood event looking very different. She was 44 at the time. Did she have cosmetic surgery or was something else making her look smoother and younger?