Holly Madison Reveals the Plastic Surgery She’s ‘Happy’ She Had After Pregnancy

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Introduction

Holly Madison is once again speaking candidly about cosmetic surgery, sharing details about a procedure she says significantly boosted her confidence after becoming a mother. The former Girls Next Door star revealed that she underwent a lower facelift after struggling with loose skin following her second pregnancy, explaining that despite trying non-surgical treatments, surgery was ultimately the only option that delivered the results she wanted.

Holly Madison on the "Derm Approved" podcast.

Madison has long been open about her cosmetic enhancements, but her latest comments offer fresh insight into how pregnancy changed her body and why she carefully chose a subtle surgical approach rather than dramatic alterations.

Holly Madison Says a Lower Facelift Was the Right Choice

During an appearance on the Derm Approved podcast hosted by dermatologist Dr. Sheila Farhang, Madison revealed that she had a lower facelift focused on her jawline.

According to the television personality, she experienced significant weight gain during her second pregnancy. Although she later lost the weight, she was left with loose skin around her jawline that could not be corrected through lasers or other minimally invasive procedures.

“I’ve had a lower facelift on my jawline,” Madison shared, adding that she’s “really happy” with the outcome.

Rather than seeking a dramatic transformation, Madison said she spent considerable time researching surgeons before choosing one whose previous results looked natural. Her goal was to restore definition to her jawline without appearing overdone.

Holly Madison speaking on the Derm Approved podcast.

She explained that she intentionally preferred a conservative result, joking that she’d rather return for additional work later than risk looking unnatural.

Why Pregnancy Led to Her Decision

Holly Madison performing during her "Stripped Down: Unfiltered and Unapologetic" book tour.

Madison explained that the changes she noticed after her second pregnancy were different from ordinary aging.

Despite maintaining her appearance and exploring non-surgical options, she felt there simply wasn’t a treatment capable of tightening the excess skin to the extent she desired.

For Madison, surgery wasn’t about chasing perfection—it was about correcting a specific issue that affected her confidence.

Holly Madison arrives at the grand opening of The Vanderpump Hotel.

She also revealed that she took approximately two weeks away from work while recovering and acknowledged that small scars remain near her ears, though she isn’t concerned about hiding them.

“I’m kind of open about it,” she said, noting that she has discussed the procedure publicly before.

Other Cosmetic Procedures Holly Madison Has Tried

Holly Madison wearing a white cable-knit sweater with pink hearts, a layered pink mini skirt, and carrying a Starbucks drink and a red handbag.

Madison also discussed several other cosmetic treatments she has undergone throughout the years.

These include:

  • Botox
  • IPL (Intense Pulsed Light) laser treatments
  • CO2 laser treatment beneath her eyes
  • Breast augmentation

While she remains satisfied with many of these procedures, she emphasized that cosmetic surgery is highly personal and that results vary from person to person.

Speaking about breast implants, Madison acknowledged that some patients experience complications, including implant rejection or breast implant illness. She encouraged anyone considering surgery to carefully research both the benefits and potential risks.

The Cosmetic Procedure She Regrets

Holly Madison at the Playboy Club in a bunny costume, holding playing cards.

Not every beauty treatment has been worthwhile.

Madison revealed that she previously underwent a hand rejuvenation procedure involving lasers and fillers but described it as a complete waste of money.

According to her, the treatment failed to deliver noticeable improvement despite the recovery process and expense.

Her willingness to discuss both successful and disappointing procedures reflects her long-standing approach of being transparent rather than promoting unrealistic beauty expectations.

Looking Back on Playboy and Body Image

Madison also reflected on how her years living at the Playboy Mansion influenced her relationship with beauty and aging.

She has previously spoken about experiencing body dysmorphia during that period, explaining that constant scrutiny made her question her appearance.

In recent years, however, Madison says her perspective has changed dramatically.

Rather than feeling pressured to look younger at all costs, she now feels more comfortable with herself and views cosmetic procedures as personal choices rather than necessities.

Her latest comments continue a broader conversation she’s had over the years about body image, confidence, and making informed decisions regarding cosmetic enhancements.

Why Her Honesty Resonates

Unlike many celebrities who avoid discussing cosmetic work, Madison has consistently chosen transparency.

By openly sharing both the procedures she appreciates and those she regrets, she offers a more balanced perspective on cosmetic surgery—one that recognizes both its benefits and its limitations.

Her message also highlights an important point for anyone considering surgery: research matters, expectations should remain realistic, and subtle results are often the most satisfying.

Key Takeaways

  • Holly Madison revealed she underwent a lower facelift after her second pregnancy.
  • She says loose skin around her jawline couldn’t be corrected with lasers alone.
  • Madison carefully chose a conservative surgical approach and is pleased with the results.
  • She also discussed Botox, laser treatments, and breast implants.
  • She described hand rejuvenation as a cosmetic procedure she regrets.
  • Madison continues to advocate for openness and realistic expectations surrounding cosmetic surgery.

Frequently Asked Questions

Did Holly Madison have plastic surgery after pregnancy?

Yes. She revealed she underwent a lower facelift after her second pregnancy to address loose skin around her jawline.

What procedure did Holly Madison say she’s happy she had?

She said she’s very happy with her lower facelift and believes it achieved the natural result she wanted.

Why did Holly Madison choose surgery instead of lasers?

She explained that non-surgical treatments couldn’t tighten the loose skin left after pregnancy as effectively as surgery.

Has Holly Madison had other cosmetic procedures?

Yes. She has previously discussed receiving Botox, IPL laser treatments, CO2 laser therapy, breast implants, and rhinoplasty.

Did Holly Madison regret any cosmetic treatment?

Yes. She described a hand rejuvenation procedure as a waste of money because it didn’t produce noticeable results.

Is Holly Madison open about plastic surgery?

Yes. She has consistently spoken publicly about cosmetic procedures and encourages realistic expectations.

Conclusion

Holly Madison’s latest comments offer another honest look at the realities of cosmetic surgery after pregnancy. Rather than promoting unrealistic beauty standards, she emphasizes careful research, subtle enhancements, and making decisions based on personal comfort rather than outside pressure.

By openly discussing both the procedures she values and those she regrets, Madison continues to encourage more transparent conversations about cosmetic treatments and body confidence. Her experience serves as a reminder that while cosmetic surgery can address specific concerns, informed choices and realistic expectations remain the most important parts of the journey.

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