A TikTok video shared by Madonna before the Grammy Awards on Sunday has become a cause for concern for fans upset about her appearance.

Madge is seen in the less than 15 second clip in a sheer top with no bra, chains and braids puckering up and leaning into the camera.

Fans flooded the comments with questions about the 63-year-old’s extremely puffy lips and swollen cheek bones which appeared to actually be the work of a video filter.

Strange behavior: A TikTok video shared by Madonna before the Grammy Awards on Sunday has become a cause for concern for fans upset about her appearance

Set to music, Madonna appears in the selfie-style clip with a face morphing filter that appeared to comically enhance her features and turned her brown eyes a milky slate grey.

The Material Girl crooner is braless in a sheer black T-shirt accessorized with layers of silver and diamond jewelry.

Her blond hair is plaited into several braids and she has small clips studding her platinum locks.

Madonna’s video has already been viewed more than 8million times on the social media platform but the reaction has not all been positive.

Odd: Set to music, Madonna appears in the selfie-style clip with a face morphing filter that appeared to comically enhance her features with oversized cheekbones and puffy lips

Why? Madonna’s video has already been viewed more than 8million times on the social media platform but the reaction has not all been positive

One follower commented that her appearance left them ‘unsettled’ while other questioned ‘what has she done to herself?’.

‘What is she on? Please get help!’ begged another commentor. That sentiment was echoed by a fourth who asked simply: ‘Is she okay, though?’

One who regularly embraces social media, Madonna has frequently posted strange and revealing – sometimes risque – content.

The negative comments don’t seem to bother the icon either. She was back on TikTok Monday morning using a glowing new filter for a video set to her new remix Frozen (feat. 070 Shake).

Not here for it: Fans flooded the comments with questions about the 63-year-old’s extremely puffy lips and swollen cheek bones which appeared to actually be the work of a video filter

She recently starred in a music video for the modern remix of her 1998 classic Frozen.

The remix is mostly handled by rapper and singer 070 Shake as Madonna didn’t appear to contribute any new vocals to the tune.

The latest remix of Frozen isn’t the first time Madonna has ceded the spotlight to a younger artist on the same track

In March, she stood nearly motionless in another Sickick-inspired remix of Frozen, this time featuring lyrics from singer Fireboy DML.

The producer originally scored a hit on TikTok back in December with his trip hop–inspired take on the song, which was feat.

Much better: She recently starred in a music video for the modern remix of her 1998 classic Frozen with rapper and singer 070 Shake