That's Dot's avi(the weird bloody wheelchair pic from monthz ago), tho I had to crop it out from a lm pic.
Apparently Dot was a joke account made by a propagaga member(which is still revealing since propagaga always has the tea)
This is still so creepy tho w/ the wheelchair pic, but its not that hard to guess or tease since Gaga always used wheelchairs in her art (Paparazzi, VMA, David La Chapelle photoshoot)