The new, [unfortunately-named -Ed.] gossip-skeptic site Gossip Cop thinks the infamous photo of Madonna's ropey arms that surfaced this week was altered. Madonna is probably like, "Thanks guys, but can you please just stop talking about it?" [GossipCop]
Maybe there are things I don't know in the beauty industry, but it seems to me that for a woman to achieve that level of leanness in her arms, her face might look a bit more gaunt. And her breasts might be a bit flatter. Looking at pictures of female bodybuilders who are ready for competition, you'll see what I mean - the face tends to get a bit fuglier than normal when you drop your body fat to single digits as a woman.