And today Madonna was spotted as she left The Ritz Hotel in Paris alongside her trusty age defying oxygen machine.
Preparing to wow a crowd at the L'Olympia tonight, the singer looked very muscular as she left the five star accommodation with members of her entourage.
Ready for the stage: Madonna was spotted today leaving in The Ritz Hotel in Paris
Miracle treatment: The Intraceutials machine lifts and tightens skins
Madonna is one of many celebrities who using the machine to aid their flawless skin, including the likes of Channing Tatum, Victoria Beckham and Naomi Campbell.
Speaking highly of the treatment, Katy Perry said: 'I use Intraceuticals oxygen skin treatment to hydrate my skin and give me that fresh, well slept glowing look before any performance or appearance'.
The machine costs around $14,200, and the singer apparently owns six.
As she left the hotel she was dressed in an all black ensemble.
Going incognito: The 53-year-old hid her eyes behind a pair of dark sunglasses
The 53-year-old hid her eyes behind a dark pair of sunglasses and a cream and black laced trilby hat.
A red leather bag and a scarf completed her look as she headed to her concert venue for the evening.
Once at the venue, Madonna put on a pair of black fingerless leather Chanel gloves, and swapped her long top for a pair of black sweatpants and a black sleeveless top.
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