This scene refers to The Fame Era. The Fame Era was telling us fake bright sides and money, sexy life but this time she's telling us inside, The Fame is not what it seems inside. You may look happy and great from outside but inside you have troubles, psycholigically problems. It's like a venom, but noone can see it from outside. In the Artpop Era, she'll reveal similar to the Fame Era, DARK Candy Warhol is BACK