Looking at before and after photos, the difference is evident. The former star of the reality t.v. show The Hills first had a rhinoplasty and breast augmentation at 21 years old, taking her from an A-cup to a C-cup. But why stop there? When she was 24, she decided she wanted more and underwent 10 surgeries in one day which included a brow lift, ears pinned, nose job, second breast augmentation, chin shaved, neck liposuction, back scooped out (what?), cheekbones injected with fat, and liposuction to her inner and outer thighs and waist. After all that, she eventually decided to downgrade from an F-cup sized breasts to a D-cup.