An actress and dancer has sued pop star Britney Spears in Los Angeles Superior Court for allegedly breaking her nose during a rehearsal and refusing to pay her medical bills. 
 
 The woman, Dawn Noel, filed the lawsuit Monday claiming she was injured on Aug. 19, 2013, during a rehearsal at a private dance studio in Woodland Hills, north of Los Angeles, for Spears' music video for her single "Work Bitch." 
 
 In the complaint obtained by NBC News, Noel says that she arrived at 10 a.m. and rehearsed with other dancers and the choreographer until Spears arrived at 12:30 p.m. "in a disheveled and confused state." Although the choreography involving Spears "was fairly basic," she was "having difficulty learning the moves, performing dances steps and following simple directions," according to the lawsuit. 
 
 "After approximately half an hour of rehearsing, as (Noel) stood off to (Spears') side, Britney twirled in an unbalanced and reckless manner, arms extended out to her sides, and forcefully backhanded (Noel) in the face," the complaint alleges." 
 
 Britney Spears rehearses "Britney: Piece of Me" at Planet Hollywood Resort & Casino in Las Vegas in 2013. Denise Truscello / AP 
 
 The impact was so hard, the lawsuit alleges, that Noel and the other dancers "heard a cracking sound which they immediately knew to be the sound of (Noel's) nose breaking." 
 
 Noel "felt immediate intense pain and grabbed her nose," and Spears just said "sorry" and continued to attempt to learn her routine, the complaint states. 
 
 Noel tried to rehearse for another half hour before having to leave to see a doctor. She was diagnosed with nasal bone fractures and advised that she would need surgery. 
 
 According to the complaint, Spears and Reign Deer Entertainment agreed to pay her medical bills. Months later, Spears' representatives advised Noel that they would not pay for her treatment, the suit alleges. 
 
 Noel is also claiming her injuries resulted in "permanent disability" and prevented her from working, resulting in loss of present and future wages. The complaint charges battery and negligence but does not include specific monetary damages. 
 
 Attorneys for Spears did not respond immediately to calls from NBC News. 

 Britney Spears is disappointed in her body and “is talking every day about getting a total body makeover,” RadarOnline.com has learned. 
 
 But don’t look for the pop singer, 32, to get plastic surgery! 
 
 According to a longtime member of her business team, Spears thinks she’s “desperately in need of a physical re-invention” through diet and exercise. 
 
 “Britney wants to get in much better shape because she hates the way she looks when she’s on TV,” the source said. 
 
 PHOTOS: Britney Spears Is Keeping Up With Kim! Shows Off Banging Booty In Bright Pink Bikini 
 
 Spears was particularly upset about how she looked during her one season judging The X Factor in 2012, the source noted. 
 
 “She’s still bugged by the body issues and now is determined to get as fit as an Olympic athlete.” 
 
 The star, who is in the midst of a Las Vegas concert residency, also wants to get her sons, Sean, 8, and Jayden, 7, who love candy and junk food, “involved in some kind of daily exercise practice as well.” 
 
 Although the source confirmed that Spears has turned down repeated offers from companies such as Jenny Craig and Weight Watchers to help her lose weight and then be a spokesperson, “Britney’s turned them down so far while she plans to get in shape privately.” 
 
 PHOTOS: Britney Spears A Southern Belle 
 
 But her advisers are worried that Spears won’t be able to achieve her goal. “She wants to become a ‘fit mama’, but there’s some healthy skepticism on the part of her personal team that she can actually pull off what she’s talking about,” the source said. 
 
 “People would love to see her run in a marathon but does anybody think she can actually finish one? No.”
– A backup dancer for Britney Spears says the "disheveled and confused" singer smacked her in the face during a rehearsal last year, breaking her nose. Dawn Noel is now suing Spears, alleging the star refused to pay Noel's medical bills after the August 19 incident near LA, NBC News reports. Noel says Spears showed up in the aforementioned state, and had trouble with the "fairly basic" choreography involved in the "Work B**ch" music video. She was having trouble learning the steps and "following simple directions," the lawsuit says, and then disaster struck when Spears started twirling "in an unbalanced and reckless manner." Her arms were extended at the time, and she ended up "forcefully backhand[ing]" Noel "in the face," the lawsuit says. The dancer's nose broke with a loud crack, but all Spears said was "sorry" before continuing on with the routine, it continues. Noel also tried to stay and dance, but ultimately had to see a doctor, and ended up needing surgery. She says Spears initially agreed to pay her medical bills, but later reneged. She wants an unspecified amount of money, claiming the injury is a "permanent disability" that has kept her from working. (In other Britney news, she apparently hates the way she looks and wants a "total body makeover.")