Lady Gaga clarified that they were not the result of plastic surgery, believing such surgery to only be the modern byproduct of fame-induced insecurity to which she does not subscribe.
Further probing by the interviewer only got her to state that they are an artistic representation of her inner inspirational light, part of the "performance piece" that is her musical persona, an inevitability of her becoming who she now is.
In view of Lady Gaga's influence on modern culture and her rise to global fame, sociologist Mathieu Deflem of the University of South Carolina since the Spring of 2011 organizes a course titled "Lady Gaga and the Sociology of the Fame" with the objective of unravelling "sociologically relevant dimensions of the fame of Lady Gaga with respect to her music, videos, fashion, and other artistic endeavors".