Like most of Hugh Hefner’s girlfriends, Holly Madison has a perfect face and body; both aided by plastic surgery. Breast implants and a nose job were the main procedure she had to look how she does. Overall, Holly Madison is a pretty open person. (Most Playboy bunnies are.) She doesn’t deny that she has had breast implants. (Most Playboy bunnies have.) Also, it's clear that she's wearing a lot of makeup to look this way.
The one thing Holly Madison hasn’t spoken publicly about is whether she’s had a nose job. These before and after pictures make it appear as though she may have. Though not dramatic, he nose seems more refined and slightly thinner now. Either way, plastic surgery obviously had a major part in her stunning physical transformation.