Madonna Puts Best Face Forward

Walking out of my apartment this Saturday afternoon I had my most exciting celeb spotting yet, Madonna.  The superstar, looking tiny as can be all wrapped up in an oversided scarf, hopped out of a black Escalade accompanied by a bodygaurd and another woman (I wasn't able to identify) walked casually into a building full of doctor's offices, one of them being Dr. Fredric Brandt. 

Dr. Brandt is a derm to many celebs, but famously known for working with Madonna.  There has been speculations of her keeping her wrinkle free forehead and cheekbones in tact with Botox through his talented hands.  Was she getting touched up this Saturday?