Tom Cruise's recent appearance at the Jameson Empire Awards in London — marked by an unusually shaggy mane and puffy cheeks — provoked whispers the perennial A-lister might have made some alterations to his 51-year-old face, Breaking Celebrity News is reporting.

“Tom’s face looked like a puffy pillow,” an eyewitness told Star. “Everyone there couldn’t stop talking about how different he looked.”

Dr. Anthony Youn, a famed plastic surgeon who has not treated the Vanilla Sky hunk, gave our friends at Star his professional opinion on whether the Mission: Impossible hunk has spent some time under the knife in light of his night out in London, his first major public outing in four months.

“Tom could be swollen from a recent injections of a filler like Sculptra,” the doctor told Star. “This treatment is typically used to fill in gaunt faces, and it can cause facial swelling."

A source close to the situation said that the Risky Business star has "gotten terribly insecure when it comes to aging” — and it ties into his bachelor status over the past two years.

"If you were happily married, he might care about hi