Plastic surgery is no longer a choice to be made in secret. Today, celebrities are gifting each other with plastic surgery packages on national television. According to the American Society of Plastic Surgeons, in the United States alone, 2012 saw almost $15 billion change hands in the name of cosmetic enhancement. This number is only going to grow in years to come. In addition to Heidi Montag, who became famous overnight in an entirely new way when she underwent 10 procedures in one day, these celebrities have become famous not just for their talent, but for their choice to use plastic surgery to permanently alter their appearance, with varying results.

Heidi Montag

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Heidi Montag had a nose job, liposuction, fat injections, botox, and of course the implantation of F-sized breast cups. In just one day, Ms. Montag completely altered her appearance. Hers in one of the most dangerous and extreme examples of drastic plastic surgery alteration in the public eye. Just three years after, she chose to downgrade her breast implants to C-cups, citing pain and health issues from the F-cups as her reason.

Pamela Anderson

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Pamela Anderson was first discovered as a young girl sitting in a baseball stadium. From there, she pursued modeling, appeared on the cover of "Playboy" magazine, and then rose to international fame as a member of the cast of "Baywatch." She has had several cosmetic surgeries - most notably breast implants. While there are rumors she has had facial work as well, she has not confirmed those rumors.

Donatella Versace

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The daughter of uber-famous Gianni Versace may be famous for the high couture Versace line of clothing and accessories, but she also has a penchant for redesigning her own appearance. From plumped-up lips to redistributed cheekbones, the results have not been unveiled to rave reviews. While she is only in her 50's, her post-surgery face often appears more worn out and weathered than its five decades deserves.

Tori Spelling

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Daughter and heir to the Spelling dynasty, Tori Spelling has had numerous plastic surgery procedures since her spell on Beverly Hills, 90210. Her breast augmentation fell far short of her expectations, resulting in a lawsuit. She only admits to two procedures.

Christina Aguilera

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The child singing star turned actress and vocal coach has been in the media quite a bit lately for her dramatic weight upswings and downswings - including a notable increase in the size of her breasts. She has owned up to nothing, simply citing hard work and an increase in exercise, but her chest in particular indicates otherwise.

If you are considering plastic surgery, experts from the U.S. Office on Women's Health recommend becoming an informed consumer, ensuring you have balanced and reasonable expectations, and scheduling your procedure for a time when you can experience inner and outer rest and peace. Because plastic surgery is a permanent alteration of your appearance, being prepared in every way will pave the way for the most successful outcome.

About The Author:

Dr. Adams is a board certified plastic surgeon and director of an online publication that is written by plastic surgeons and covers, trends, techniques, and the truth about plastic surgery procedures.