I know she's 63, so I'll give her a pass for that but with all the plastic surgery she is pretty unrecognizable. She just looks like a 40-something who's had a hard life.
https://hollywoodlife.com/2022/08/12/madonna-sheer-top-son-david-banda-jfk-photos/
https://hollywoodlife.com/2022/08/12/madonna-sheer-top-son-david-banda-jfk-photos/