The star had all eyes on her as she stepped out in Las Vegas this weekend
The star was with husband Jay Z in Sin City for the Cotto versus Alvarez fight and sat ring side in a plunging black dress.
Dr. Anthony Youn, who has never treated the multi-award winning star, told Radar Online that it appeared the singer - who has never confirmed any kind of surgery - appeared to show signs of having botox, a rhinoplasty and lip filers.
He said: "It appears that she's had a rhinoplasty, causing her nose to look noticeably thinner and refined.
"Her smile lines, aka the nasolabial folds, also appear to have been reduced, maybe with an injectable filler like Restylane."
She even appeared to be anti those procedures in her 2013 video for single Pretty Hurts.
"I'm pretending to get a facelift and Botox," she said in a behind-the-scenes video posted to Instagram.
"It represents all the things that people go through to put up with the pressure that society puts on us."
Questions about her appearance were raised this weekend by Britney Spears' ex-husband Kevin Federline during the Drunk In Love star's appearance at the Cotto versus Alvarez fight in Las Vegas.
He added: So sad when a beautiful woman chops and screws her face up w/Botox and surgery... #sawface."
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