Simon Cowell has sparked concern as he continues to look his unrecognisable at the Royal Variety Performance recently. 

The 63-year-old sported an incredibly smooth complexion and enhanced features which could have been a result of cosmetic work as he attended a Christmas Carol event with his family on Saturday.

Simon was joined by his fiancée Lauren Silverman and his lookalike son Eric as they posed for a sweet family snap.

‘We had a wonderful and inspiring evening earlier this month at the Christmas Carols night hosted by @katiepiper_ & @kpfoundation.

‘I would personally like to thank everyone who has supported Katie and her foundation, if you would like any further information on how to help and get involved please visit katiepiperfoundation.org.uk/ (link in bio). Wishing you all a very festive holiday season’.

His appearance came soon after he sparked fan concern with his unrecognisable appearance at the Royal Variety Performance , which was filmed on December 2 and aired on ITV on Tuesday.

But as Simon was introducing BGT winner Axel Blake, he left TV viewers distracted by his incredibly smooth visage, that may be the result of cosmetic surgery , with one asking: ‘What’s he done to himself?’.

He previously sparked concern from fans in a promo video shared to social media on earlier this month.

The TV mogul looked unrecognisable as he sported an incredibly smooth complexion, bright white teeth and enhanced features.