Amy's party-girl lifestyle takes horrific toll on her body

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The singer, who has just has announced an 11-date UK tour starting in mid November, looked typically gaunt during an outing in London yesterday, with her barely there outfit revealing a boney frame and aged, saggy skin.

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Defiant: Amy refuses to get help despite growing concern

Despite growing concern for the troubled star, her increasingly chaotic behaviour shows no sign of abeiting.

Last week disgruntled fans walk out of her concert at the Eden Project in protest after she appeared to spit at the crowd.

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Wreck: the singer's aged and saggy skin is also covered in stretch marks

Oh bee-hive! Amy gives waiting fans a nod

Reports also said Winehouse was in tears while on stage, hitting herself on the head with a microphone in frustration when she forgot the words to her songs.

It was the first time she had performed after a string of cancelled gigs, but it left disappointed fans joining the growing chorus of people urging the singer to get help.

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On the nose: the singer appeared to have a white substance in her nostril after visting her local pub earlier this week

Amy, who has previously admitted to self-harming, was seen with scratches on her chest

The defiant peformer has often said she has no plans to reform her wild behaviour, saying recently: "I'm not in this to be a role model."

Still, the accolades for her music continue to role in: Back to Black, her second album, was recently shortlisted for the Mercury prize.