Carla Bruni was once one of the beauties of her time, working as a top model for Dior and Givenchy.

But the 44-year-old’s face looks nearly unrecognizable now, a leading dermatologist says, due to the amount of work she appears to have had.

“Carla is over botoxed,” Dr. Ben Behnam told RadarOnline after seeing pictures of the First Lady of France.