Britney, 26, left the hospital wearing a blue dress, sunglasses and a patterned trilby hat and jumped straight in her black Mercedes and drove to a hotel.
The Toxic singer managed to dodge half the waiting press in her dramatic exit as she snuck out one of the UCLA Medical Centre's side door.
Seconds later cars and helicopters were following her to Los Angeles to the Beverley Hills Hotel.
Police arrived and broke up the swarming crowd of photographers and reporters - and Britney was promptly escorted inside.
An hour later her her paparazzo boyfriend Adnan Ghalib pulled up at the hotel in a silver Mercedes and went inside to see her.
The news comes after it was today claimed Britney secretly had her breasts enlarged as a teenager with the blessing of her mother Lynne.
And the report was made just three days after her 72 hour evalution period was extended by a further 14 days.
The LA Times claims that the singer slipped out of the ward with "relatively little fanfare".
Rolling Stone Magazine published an article today claiming Britney had her breasts enlarged as a teenager - but later had it reversed.
Britney reportedly went under the knife to get bigger breasts - but she then decided they were too big.
So she had surgery again to get rid of her new implants, it has been claimed.
A source told Rolling Stone magazine that she and Lynne, 52, had made the decision for her to get them, on the assumption that the culture demanded it, but the press leapt on her scornfully.
"She regretted the implants, particularly because her chest was still growing.
"And when her natural breasts became larger, she had the implants removed."
Friend Darrin Henson told the magazine: "When other girls did their boobs, they were like, 'Yeah I did my boobs, move on' but Britney was brought up to lie about herself.
"Britney would come offstage after performing in front of 15 to 16,000 people and start crying because she thought she was terrible."
He added: "The girl doesn't know who she is."
Britiney has always denied she was surgically enhanced.
The fallen star posed for a sexually suggestive cover of Rolling Stone magazine in April 1999.
The image sparked a debate in the media over whether the then 17-year-old star had had breast implants.
A friend told Rolling Stone: "When Britney saw the papers she was crying uncontrollably, asking, 'Why is everyone being so mean to me?'
"It was very hurtful for her to go through something so private so publicly."
The new issue of the magazine also details the chart star's unraveling mental state.
Britney's dad Jamie Spears
Heartache: Britney pleaded with her father to take her home
It includes an account of the singer verbally abusing a fan and breaking down in a shopping centre.
When her credit card failed to go through she is reported to have reacted furiously.
"F*** these bitches," she is alleged to have scremed."These idiots can't do anything right!"
And after a fan approched her for a photograph she told her paparazzi boyfriend: "I don't want her talking to me!"
She then reportedly screamed at the young girl: "I don't know who you think I am, bitch, but I'm not that person."
Britney is currently in a Los Angeles psychiatric hospital where she is having treatment after being sectioned.
Today it emerged she begged her father James to get her out of the ward she's in and take her home.
Mr Spears, who is estranged from his troubled daughter, said he went to the hospital after receiving four calls from her on Sunday begging him to visit.
The calls are revealed in legal documents filed by her father asking a court to leave him in charge of the Oops I Dit it Again singer's legal and business affairs while she receives treatment.
Mr Spears states in the papers: "On Sunday I was unable to visit the hospital because I had to work. I am a cook and I was catering a large Super Bowl party.
"While I was working Britney called me on my cell phone at least four times. She called about every 20 minutes."
Mr Spears described a visit to see his daughter later that afternnon, where he encountered hostility from Britney after he refused to give into her pleas, according to a People report.
Britney said: "Come on, daddy, let's get out of here. Take my hand and let's walk out of here together."
Britney became increasingly agitated as her father refused to let her leave, accusing him of keeping her in care against her will.
"Somebody's lying. You put me in here."
Mr Spears tried to comfort the star, assuring her that he loved her and was helping Britney to regain custody of her children, currently staying with their father Kevin Federline, who has full legal and physical custody of the boys.
Britney replied: "No, I have new lawyers that will help me with my stuff."
"You don't (love me)", said Britney, "The doctor told me you are keeping me in here."
The conversation between father and daughter ended with Britney telling her dad that property of hers had been stolen by her self-proclaimed "manager" Sam Lutfi.
Mr Spears states: "She asked me to help her get it back. I told her that I would."
He has since filed a police report claiming a theft occurred at Britney's house.
And he remains the temporary conservator over Britney's affairs pending another hearing on 14 February, when Los Angeles Superior Court commissioner Reva Goetz will decide whether to extend it.
Britney's divorce case lawyers are also seeking renewed visitation for the star with her children under the supervision of a mental health expert.
The next hearing in the custody case is scheduled for 19 February.
A restraining order aimed at Lutfi alleges that he drugged the pop star, took over her life and finances and controlled the paparazzi who pursued her for months.
The order, based on a lengthy declaration from Spears' mother, Lynne, says Spears met Lutfi in October 2007 and "Mr. Lutfi has essentially moved into Britney's home and has purported to take control of her life, home and finances."
Lynne alleges Lutfi crushed up Britney's medication and placed it in her food and "gave Britney something to make her more light-hearted" during one of their visits.
Lutfi, 33, apparently told Lynne the Toxic star would kill herself if he wasn't there to administer her pills.
The documents released by a court ordered Lutfi to stay away from Spears and stop the harassment.
Lynne Spears' declaration said, "Mr. Lutfi drugged Britney, he has cut Britney's home phone lines and removed her cell phone chargers.
"He yells at her. He claims to control everything - Britney's business manager, her attorneys and the security guards at the gate."
The order, dated February 1 this year, instructs the 'manager' to stay at least 250 yards away from the singer, her cars, her children's school, her home, UCLA Medical Center, her parents' homes, and her siblings' homes.
It also orders him not to harass or contact Britney, or try and find out where she is.
"If you do not obey these orders you can be arrested and charged with a crime.
"And you may have to go to jail, pay a fine of up to $1,000 (£509) or both," the LA Superior Court documents state.
The most shocking part of the legal documents is a declaration filed by Lynn Spears after she visited her daughter at her Beverly Hills home on 28 January.
Lynne claims she went to see Britney with a friend called Jackie after hearing news reports that she was in tears following a fight with Lutfi.
According to the statement, when Lutfi heard Britney's mother was on her way he did everything he could to make sure she was not in the house.
He apparently told Britney her parents were coming to perform an intervention and gave a photographer the keys to one of her cars so he could get her out of the way.
When Lynne arrived and Britney finally returned home Lutfi allegedly told Lynne she must follow his instructions.
According to the court documents he said: "I'm the one who spends 24/7 with your daughter. I sleep in cars outside her house so she can't leave.
"You people throw everyone under the bus. If you don't listen to me I'm going to make your name s*** in the papers."
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