Madonna emerging from the gym after a workout yesterday. Look at her huge muscles, yes she is fit but I do not think she looks sexy at all. She worksout for 2 hours per day, six days a week, but that is ok when you are a celebrity because you pay someone to push you.

A Vanity Fair spokesman said retouching had been minimal - "just a little work on skin tones and blemishes".

Tracy Anderson her personal trainer "It comes down to whether or not you are a hard worker and someone who puts in 100 per cent.

"I prefer to train with the dedicated and these women aren't afraid to work."