Of course working out taking care of yourself and having a nick and tuck and or medical procedure here and there can help the aging process! Its scientifically proven!
According to philosophy of art, art it is eternal and universal, Madonna is a truth artist and probably the best female artist of history, so old or not, cheater or not, she is and will always be a truth inspiration... i dont think the most important thing of her that will remain in history and that will mantain her present in the lifes of the sons and daughters of those ones who wrote those comments above is botox or medical procedures, but her music and her expression...
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age is age, botox or gym can't help it, unfortunately!!!