The 56-year-old popstar shared an Instagram photo on 14 July showing her new facial piercing - a septum ring that features her initial above a pearl.
She captioned the septum selfie: "You Can't Mess with this lucky Star #bitchimmadonna #iconic #rebelhearttour"
There's been some debate on social media about whether Madonna has actually got her septum pierced or if she is just channeling this season's trend for all things fake, as modelled by Kendall Jenner when she sported elaborate facial piercings on the cover of Vogue Japan.
And it's not just piercings, temporary tattoos are also in now, with countless celebs sporting flash tats and male models covered from neck to toe in fake body art on the catwalk at the Dsquared2 Milan Fashion Week spring/summer 16 show.
But if it is real, you can be pretty sure Madonna went through all these stages while getting it done...