Hot take: Madonna isn't trying to look good. She's doing camp. At a time when celebs half her age (or younger!) are morphing themselves into uncanny valley Handsome Squidward buccal fatless anthropoid Instagram blow-up dolls, her look is turning a funhouse mirror onto that culture: This is what you all will look like, so get your horror out of the way now. It's exactly what our current moment deserves.
I also don't think her current face is that far off from Jennifer Coolidge, but no one is saying tit about her.
"Hot take" sounds very Wendy Williams...!
I think Madonna is surrounded by so many yes-men who are terrified to say no to her and her plastic surgeon / beautician / etc probably goes along with her demands for "more filler! MORE!" for an easy life. Even when she looks almost as if she has some sort of elephantitis going on.
If a surgeon or dermatologist or aesthetician has any sort of morals and says "enough", Madonna can shop around for someone who will do her bidding.
You even seen it in the earlier days of In Bed With Madonna, everyone was nervously laughing along at her jokes and seemed on edge around her.
It's not camp, camp is self-deprecating, delivered with a wink and a smile - Madonna doesn't seem to have the self-awareness (or humour) any more - maybe years ago she did, but she seems lost and deluded nowadays, as if she's somewhat lost grip of reality. It's rather sad, really. Fame and vast wealth can be a lonely life.