Holly Madison reveals the plastic surgery she's happy she had done
Holly Madison reveals the lower facelift she had on her jawline after pregnancy—and she is glad she did it. The 46-year-old former Playboy model told the "Derm Approved" podcast that weight gain from her second pregnancy left jawline changes that lasers could not fix, so she chose a conservative surgical route she now stands behind.
Holly Madison has never been shy about cosmetic procedures, and her latest comments add a significant chapter to that openness. Speaking with host Dr. Shelia Farhang during Wednesday's episode of the "Derm Approved" podcast, the "Girls Next Door" alum explained what she had done and why it mattered to her. For more on stories like this, see our Celebrity Breaking News coverage.
Key Takeaways
- Madison confirmed she had a lower facelift on her jawline and said she is "really happy I got it done."
- She linked the decision to weight gain during her second pregnancy, which she felt left lasting changes she could not address with lasers alone.
- At 46, she kept the work minimal, saying she would rather under-correct than go too far.
- She also named other procedures she has had, including CO2 laser under her eyes, IPL laser, and Botox.
- Madison remains famously open about breast implants, which she called a "tricky thing" for some patients.
What plastic surgery did Holly Madison reveal?
On the podcast, Madison told Dr. Farhang, "I've had a lower facelift on my jawline," adding, "I'm really happy I got it done." She framed the procedure as a targeted fix rather than a dramatic overhaul.
She also shared a broader list of cosmetic work she has undergone over the years. Beyond the facelift, Madison mentioned CO2 laser treatment underneath her eyes, IPL laser, and Botox. She has also been famously open about having breast implants, though she noted that implants can be a "tricky thing" because some people's bodies reject them or results can go wrong.
Why did Holly Madison get a facelift after pregnancy?
Madison tied the decision directly to motherhood. "I just felt like after having kids, you know, I gained a lot of weight with my second pregnancy," she said, referencing her two children—Rainbow, 13, and Forest, 9—whom she shares with ex-husband Pasquale Rotella.
She gestured near her jawline and explained that "there was just nothing I could do," including lasers or other nonsurgical options that "could really do what I wanted it to do." That frustration led her to research surgeons and choose someone whose before-and-after photos she "really loved."
Why does Holly Madison prefer a conservative approach?
Madison, 46, said she did not want to go "too far" with the procedure and kept the work to a minimum. Her philosophy is to start subtle and adjust later if needed.
"I'd rather have it not go far enough and then I can go back and maybe do more rather than have it go too far, and I'm looking like the Joker," she quipped on the episode, which dropped Wednesday. The line underscores a growing celebrity conversation about natural-looking results rather than obvious transformations.
Full details of Madison's comments are available in the original Page Six report on the "Derm Approved" interview.