Holly Madison Opens Up About Lower Facelift Following Pregnancy

Holly Madison is discussing her experience with cosmetic procedures during an appearance on the Derm Approved podcast.

The 46-year-old author and former reality television personality shared details about undergoing a lower facelift focused on her jawline. "I've had a lower facelift on my jawline. I'm really happy I got it done," Madison said.

Madison shares daughter Rainbow, 13, and son Forest, 9, with ex-husband Pasquale Rotella. She explained that pregnancy and weight gain prompted her decision to pursue the procedure. "I gained a lot of weight with my pregnancy and there was just nothing I could do. There were no lasers or anything that could really do what I wanted it to do so I found somebody whose before-and-afters I really loved," she noted.

The procedure also included liposuction under her chin. Madison emphasized her conservative approach to the surgery, saying, "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."

Following the facelift, Madison took a two-week break from her podcast to recover at an Los Angeles hotel with nursing support. The surgical scars are positioned in front of her ears and can be concealed with makeup or accessories. "If you look close, you can totally see it, but I don't care. I'm kind of open about it. I already talked about it on my podcast," she said.

Beyond the facelift, Madison has also undergone Botox injections, IPL laser treatments, and CO2 laser procedures as part of her beauty regimen.