Premiere of the movie “A Star Is Born” in Los Angeles

Lady Gaga refused to get a "nose job" early in her career, and while she is "so insecure" about her looks, she has always been determined to stay true to herself.

The 'Just Dance' hitmaker revealed people tried to persuade her to have plastic surgery become she released her debut single, but she held her ground and was determined to stay true to herself.

She told the Mirror: "Before my first single ever came out it was suggested I get a nose job but I said 'No.' I love my Italian nose.

"If people wanted me to look like a sexpot I would look like the opposite. If they said 'Try dancing and looking this way' I would always flip it on its head and do it my way."

The 'A Star Is Born' actress admitted she had to use some of her own insecurities for her role as unknown singer-songwriter Ally in Bradley Cooper's upcoming musical drama.

Explaining how she stripped off the makeup she usually wears for her own live performances, she added: "It put me in the right place I needed to be. When my character talks about how ugly she feels - that was real. I'm so insecure."

Gaga, 32, added that she was pleased to be able to put some of her own experiences into the film, and she said Bradley - who directed, produced and co-wrote the movie as well as starring in it - was accommodating.

She said: "I spoke a lot to Bradley about my life and they integrated part of my life into the movie but in a very special way. I am forever grateful to him for that."

The singer has been open about her insecurities before, and over the summer she admitted she finds it "very lonely" being a performer.

She previously revealed: "It's very lonely being a performer. There's a certain loneliness that I feel, anyway - that I'm the only one that does what I do. So, it feels like no one understands. And the urge to use is because you're searching for a way to quell the pain.

"When I first started to perform around the country doing nightclubs, there was stuff everywhere, but I had already partied when I was younger, so I didn't dabble. I was able to avoid it because I did it when I was a kid."