Katie Holmes abandoned her customary glamorous look and appeared gaunt and thin as she spent a day out with her family on a private Brazilian island.
The actress was clad in a fashionable asymmetrical swimsuit, but the cut of the costume only served to highlight her stick-thin figure and her unsupported bust.
She also ditched her towering heels in favour of flip flops and her usual perfectly coiffed hair was hidden under a headscarf, making her look almost unrecognisable.
The couple were treated to an outdoor lunch as guests of plastic surgeon Ivo Pitanguy
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