TOM Cruise could have kicked off his 60th year at an “inflection point” with his appearance and gone under the knife, a plastic surgeon has said.

And given his recent outing at an event in Miami where he lavished attention on Shakira, Tom may not be taking any chances with his looks.

Tom Cruise attended the 95th Oscar Nominees Luncheon in February where a plastic surgeon said he looked like he had started to use BotoxCredit: Getty

Before Tom turned 60, (seen here at age 54 in 2017) his wrinkles were starting to form and by 2018 a surgeon claimed they were getting deeperCredit: Getty

Since July, the world-famous movie star has been spotted at a slew of star-studded events showing off smoother skin and a chiseled jawline.

Tom was seen mingling at the 2023 Miami Formula One Grand Prix on May 7.

Rumors swirled that the actor looked set to woo Shakira, 46, and according to Page Six, he has already sent the mom-of-two flowers.

While the newly single Colombian pop singer and the Top Gun actor chatted, Cruise looked casual and on point in a white polo.

His tousled brown hair and dark glasses were set against his tanned, taut-looking complexion.

In an exclusive interview, plastic surgeon Dr. Richard Westreich told The U.S. Sun: “Through the years, it is possible that he may have spent up to $50,000 on cosmetic treatments.

“Overall, I think Tom is just getting started with it all.

“I think for most people, there’s an inflection point when the problem gets so bad that they decide they want to do something about it.”

Cruise has had a low profile recently, not being papped since an Oscar nominee lunch in February.

The 95th Academy Awards saw Top Gun: Maverick score six nominations and win Best Picture, although the actor was a no-show on awards night.

Cruise, who also helped produce the film, undertook months of intensive training to prepare for the role of Captain Pete (Maverick) Mitchell.

Dr. Westreich said: “In the Oscar run-up, Tom’s forehead looked as smooth as a drum.

“His eyebrows also look a little lower than usual.

“If Botox is done fairly heavily, then the brows can drop, and this looks like pretty heavy Botox to me on his forehead.

“Usually male actors want very light treatments because they want to maintain their ability to make expressions.

“I like to go lighter with Botox on males just because I don’t think they demand complete eradication of the lines.

“Looking at past photos of Tom smiling, his brows go up and he has lines on his forehead.

“I can see that by 2018, and certainly by 2022, Tom had some pretty deep forehead lines, and so I definitely think he’s recently had Botox.

“The Oscar nominee luncheon photos, taken in February for example, were the first time I noticed Tom might have had Botox.

“The fact that he may have waited all this time to get Botox is quite interesting.”

11Tom’s wrinkles started to show (seen here in January 2019) while a surgeon said he may have started using Botox after he turned 60Credit: Getty – Contributor11Tom attends the 95th Annual Oscar Nominees Luncheon in February with a smooth and shiny foreheadCredit: AFP

Although some sections of Instagram encourage ‘preventative’ injections from as young as your 20s, Cruise is not alone in holding off on cosmetic work.

Dr. Westreich said: “Throughout the course of Tom’s life, he may have done a couple of minor cosmetic treatments.

“There’s the possibility of functional rhinoplasty, of laser skin, resurfacing, and perhaps even a little lipo under his chin.

“Now that Tom’s 60 years old, perhaps something finally got to him.

“It is possible that he may have spent up to $50,000 on cosmetic treatments.

“The laser resurfacing can cost $4-5,000 per treatment.

“The nose procedure would be labeled a functional rhinoplasty and could cost between $30-40,000 and lipo can be between $5-10,000.

“The Botox is around $1000.”

11Tom could have had a little lipo under his chin according to plastic surgeon, Dr Richard WestreichCredit: Getty

Professionally, Cruise is famed for his love of authentic, action-packed movies.

This has seen him participating in extreme sports and strenuous stunts for action roles in Mission Impossible, Edge of Tomorrow, and now the sequel of the 1986 classic Top Gun.

The father of three is also known to go above and beyond while perfecting his craft.

This has meant trying everything from flying to scaling buildings, skydiving, and hanging off planes himself – rather than faking it with a stunt double.

However, Cruise’s forever-youthful looks have seen fans question his aesthetic authenticity.

Tom has previously denied going under the knife.

In 2012, when asked whether he’s had cosmetic surgery, he told Playboy magazine: “I haven’t, and I never would.”

But over time, fans’ comments about the shape of the actor’s nose, gleaming white Hollywood smile, at times puffy face, and fuller hairline have intensified.

11Tom hung out with Colombian singer Shakira at the 2023 Miami Formula One Grand Prix where the Top Gun actor looked relaxedCredit: AFP

“Looking at past photos of Tom, I thought that maybe he’d had the functional rhinoplasty in the pre-2005 era,” added Dr. Westreich.

“This wouldn’t have been on the tip of his nose, but on the bony area.

“If you look at older photos, it’s just a little bit more crooked there.

“Around 2005, his nose starts to have a little bit more contour and begins to look straighter,” he said.

He continued: “Sometimes people might have airway surgery for breathing.

“If you have a deviated septum and your bones are crooked, they may repair the bones and leave the rest of the nose as it is.

“Even though they’re not taking down the profile or narrowing the tip, I don’t think Tom had any profile or tip work.”

11Tom enjoyed time at the Miami Grand Prix with Shakira on May 7Credit: AFP

He added: “I think that they straightened his bones, and that probably was part of making it look better.

“It also could have been part of a breathing restoration.

“Otherwise Tom might have had chin lipo.

“This could have been around 2013 and 2014, in the area under his chin.”

He also said: “But then by 2020, a photo of him shows that all of a sudden he looks really young.

“I think he may have been getting ready for Mission Impossible at the time, so it looks like his skin is very smooth.

“It’s also possible that he did some kind of resurfacing type of procedure in 2020, like a laser resurfacing.

“This would create all the smoothness.”

11Tom (seen here with his former wife, Katie Holmes, at a premiere in 2011) has a strong jaw which will have helped him age well, a surgeon has saidCredit: Reuters

On his more recent cosmetic work, the doctor added: “Someone like Tom has always had a very low-set brow and heavier upper lids.

“Tom is somebody who should never, ever, ever get an upper lid procedure because it’ll completely change the look of his eyes.

“We’re so used to him over the years, having these heavier upper lids and that’s part of his look.

“So with that low brow and being a man, I probably would’ve been a little gentler on the Botox.

“You need to be cautious with Botox because Tom has had that classic low-set look since he was a teenager.”

11Tom (seen here in 1983) still has a low-set look, said Dr Richard Westreich which means as an actor he would need to be careful using BotoxCredit: Alamy

Cruise was 19 years old when he started out in Hollywood.

He quickly garnered just as much attention for his handsome, chiseled looks as for his acting roles.

After appearing in Endless Love, Tom made his breakthrough as the lead in Risky Business.

By 1996, and the arrival of Top Gun, he’d become Hollywood’s rising star and with that an instant heartthrob.

Tom began winning the hearts of an array of female celebrities including Mimi Rogers, who he went on to marry in 1997.

After divorcing Mimi, Tom wed Aussie star, Nicole Kidman. They lasted until 2001, during which the couple adopted two children – Isabella and Connor.

Finally, Tom married actress, Katie Holmes, in 2006 before splitting in 2012. The pair now share their daughter, Suri.

Tom’s latest potential love interest, Shakira, could have come at the right time.

Our expert notes that the actor appears to be taking greater care of his looks and is aging well.

11Tom (seen here with his ex-wife Nicole Kidman in 1992 has aged well, according to a plastic surgeonCredit: Getty

“Overall, Tom has aged well and part of what allows him to age this way is his bone structure, especially his jaw,” explained Dr. Westreich.

“Tom’s jaw is strong and chiseled and this will have helped him a lot.

“I don’t think Tom has had Botox anywhere else, such as on his crow’s feet.”

He continued: “I also don’t see any real evidence of filler anywhere on his face, so maybe the new Botox is just the beginning.

“I don’t think he’s done between his eyebrows, because those lines still look pretty deep.

“He’s had those lines for years and is probably being careful.”

“I don’t think he’s going to start doing filler because he doesn’t look like a volume-deficient guy,” said Dr. Westreich, adding that: “He’s nowhere near needing a facelift or anything like that and I don’t think he’s had one.”

He said: “I’d imagine, because Tom plays a lot of younger roles, that he may start doing more maintenance treatments for his skin now.

“Another resurfacing treatment might come in handy.”

11Tom shot to fame in 1986 as the lead in Top Gun and quickly became a Hollywood heartthrobCredit: Alamy