Holly Madison is opening up about her plastic surgery.
“I had a downward jawline reshaping,” the Playboy alum told host Dr. Shelia Farhan on Wednesday’s episode of the Derm Approved podcast, adding, “I’m so happy I got the surgery.”
“After having kids, I felt like I put on a lot of weight with my second pregnancy,” the model continued, referring to her two children, Rainbow, 13, and Forrest, 9, with ex-husband Pasquale Rotella.
“And there was nothing I could do,” Madison added, noting that lasers and other minimally invasive treatments didn’t seem to “do what I wanted.”
So the model “found[a surgeon]who really liked the before and after images.”
Madison, 46, also said she didn’t want to “overdo” the steps and kept the work to a minimum.
“I’d like to go back and do more so I don’t go too far, but I’m starting to look like the Joker,” she said jokingly.
The “Girls Next Door” alum also said she has a visible scar in front of her ear, “which you can totally see up close,” but added that it doesn’t bother her.
“I’m kind of open about that,” she said, noting that she’s already talked about it on her podcast.
Madison said she also dabbles in Botox and both CO2 and IPL laser treatments.
Getty Images for Caesars Entertainment
Still, she said certain procedures could be “difficult”, such as breast implants, which she has openly discussed getting.
“For some reason, it just doesn’t work for some people,” she explained elsewhere in the interview.
“Either your body rejects the implant, you get breast implant disease, or the surgery fails.”
Such a situation can make patients want to “try again,” Madison said, noting that “sadly, it can turn into this never-ending pursuit.”
The sexy blonde revealed she underwent hand rejuvenation surgery, which she bluntly called a “waste of money.”
Madison, who rose to fame living in Hugh Hefner’s Playboy mansion from the age of 21, has been open about her cosmetic surgery for years.
Back in 2023, she confessed to suffering from “body dysmorphia” amid the pressures of living in the famous mansion, telling People magazine at the time that living there “created body dysmorphia because I was always wondering what was wrong with me.”
She exclusively told Page Six earlier this month that she initially thought of living there as a “safe harbor,” but later realized it was “much more complicated than that.”
