Nicole Kidman is so over-botoxed she is giving the cosmetic medicine industry a bad name for creating a "bat face" look, a leading Canadian botox expert has told Australian specialists.
The Australian star has denied using the anti-wrinkle treatment, recently saying her look is "completely natural".
But Dr Martin Braun, one of the largest users of botox on the American continent, says there is no doubt Kidman has been an "enthusiastic user".
Dr Braun, who is based in Vancouver, dubbed "Hollywood North", told the Australian cosmetic medicine conference on the Gold Coast that he believed Kidman was "doing too much at the wrong time" with the drug, which works by paralysing muscles and softening the face.
"Nicole seems to get her botox done two or three weeks before a big event so when she, for instance, goes up on stage to collect her Academy Award she looks frozen and strange," Dr Braun told AAP.
"She looks like a bat with too much of an (outer) brow lift, the middle of the brow's been dropped, she's crying when she accepts her Oscar but nothing is moving.
"That's really doing nothing to help our job because we've got women coming to us saying that's what we don't want to look like."
He said users should be getting their injections two to three months out from a big event so the effect had started to wear off, and actors in particular should use minimal product.
"Everything is accentuated on camera so I would say they should be going much easier than they are so they don't look like a doe caught in headlights," Dr Braun said.
"These people who have extraordinary amounts of money and fame are actually getting, in my opinion, poor medical advice."
Dr Gabrielle Caswell, from the Cosmetic Physicians Society of Australasia (CPSA), agreed Kidman was a likely botox user, saying "she's a bit too wrinkle-free for an Australian of her skin tone".
"She was using a little too much, especially in the forehead," said Dr Caswell, a specialist with clinics in NSW and Queensland.
"Obviously she's not at the moment because she's pregnant but the photos show a lot more expression in her face now."
Dr Caswell said it was industry consensus that other Australian stars like Elle Macpherson and Kylie Minogue also used botox, and Angelina Jolie, the so-called gold standard of beauty, was "a definite".
Dr Braun said he believed 99 per cent of stars in Hollywood or otherwise were botox converts, "they just don't like admitting it, that's all".
Newly-released US statistics show there were 2.7 million botox procedures carried out in 2007, more than all the liposuction, breast augmentation and skin-plumping procedures put together.
The CPSA estimates Australians spent $300 million on non-surgical treatments last year, with the biggest spending on botox.
Comment was being sought from Kidman's publicist.
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