One viewer penned on Twitter: "How is that Lady Gaga? She has a completely different face! Who is this imposter?"
However amidst the speculation were many fans praised the blonde superstar for looking incredibly well.
One wrote: "Wow Lady Gaga looks like she's had a her eyes lifted or a nose job. Can't decide. Face looking tighter than usual. Looking good though."
@FirozaULtiManag offered: "I think she's had cheek fillers n lips done. Looks amazing though".
The furore was created after Lady Gaga's performance on the X Factor before the tense sing-off between bottom two semi-finalists Matt Terry and Emily Middlemas.
The star took to the stage, belting out her hit Million Reasons against a dramatic smoky backdrop.