There is a difference between making an unwise choice and lacking capacity to make a choice. I don’t really care what Madonna looks like, but we should be very careful of celebrities able to skirt the line of mental unwellness by virtue of their money or prestige. The same was true of Jackson. Sometimes people need an intervention. For the time being tho, this is just her choice. She’s entitled to make it, she must live with the consequences of doing so. Not a choice I would make (nor you it would seem) but that’s by the by, Madonna is fully capable of rationalising her own reasons for cosmetic surgery and paying people for the privilege. :o)