Holly Madison, the former Playboy model, has revealed her latest cosmetic surgery decision, discussing her recent lower facelift during a candid conversation on DearMedia’s podcast, “Derm Approved.” The 46-year-old opened up about the procedures she’s undergone and the motivations behind them, shedding light on the pressures surrounding appearance, particularly after motherhood.
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Madison disclosed her choice to undergo a lower facelift specifically targeting her jawline, stating, “I’m really happy I got it done.” She explained to host Dr. Sheila Farhang that after giving birth to her two children, she experienced significant weight changes, particularly following her second pregnancy. “There were no lasers or anything that could really do what I wanted it to do,” she confessed, highlighting her determination to find a solution that suited her needs.

In her quest for a suitable surgeon, Madison conducted substantial research, turning to online platforms to review before-and-after photos. She expressed her desire for a conservative approach to avoid any drastic alterations. “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 remarked, reinforcing her preference for subtlety in her cosmetic enhancements.
In addition to the facelift, Madison mentioned that she also opted for some liposuction under her chin. These decisions reflect her desire to address what she described as jowls and to improve the tightness of her lower facial area after pregnancy-related changes. While Madison noted that the scars from her procedure are located near her ears, she has embraced them rather than hide them. “If you look close, you can totally see it, but I don’t care,” she stated, showcasing her openness regarding her cosmetic journey.
The media personality, who shares two children, daughter Rainbow, born in March 2013, and son Forest, born in August 2016, took a break from filming in order to recover from her surgery. Madison acknowledged that her recovery involved some swelling, necessitating a two-week hiatus from her podcasting duties. She explained that she refrained from discussing the surgery beforehand due to her superstitious beliefs, indicating the importance she places on personal privacy and emotional readiness during such experiences.
Madison’s journey with cosmetic surgery is not new, as she has previously opened up about various procedures, including breast enhancements and a nose job. Recently, she has also explored hand rejuvenation treatments. Throughout her experiences, she has maintained a commitment to transparency surrounding her beauty regimen, believing that it’s essential to normalise discussions about cosmetic enhancements and the motivations behind them.
Reflecting on her role as a mother, Madison shared her concerns about setting the right example for her children in a world obsessed with beauty standards. She noted with relief that her daughter and son often tease her about her beauty routines, particularly her hair dyeing and the use of extensions. “I think I’m good,” she remarked, expressing pride in the fact that her children seem to be wary of falling victim to unrealistic beauty ideals themselves.
In a culture where discussions around cosmetic procedures often carry stigma, Madison’s willingness to speak about her experiences seeks to challenge these norms. She hopes to foster an open dialogue that encourages others to consider their own choices regarding beauty interventions without fear of judgement.
As Madison continues to navigate her path as both a public figure and a mother, her narrative serves as a reminder of the complexities many face regarding self-image, particularly in the context of motherhood. Her story resonates with those who may share similar experiences, promoting a more inclusive conversation about beauty and self-acceptance.
