Holly Madison Reveals the Plastic Surgery She's 'Happy' She Got Done After Having Kids

Holly Madison is getting candid about the cosmetic procedures she's chosen over the years.

During the Wednesday, June 24, episode of the "Derm Approved" podcast, the former Playboy Bunny shared details about the work she had done after welcoming her two children, Rainbow, 13, and Forest, 9, whom she shares with ex-husband Pasquale Rotella.

“I’ve had a lower facelift on my jawline. I’m really happy I got it done,” she revealed to host Dr. Shelia Farhang, adding that she also had "a little bit of lipo under my chin."

Madison explained that her decision came after struggling with physical changes after becoming a mom.

“I just felt like after having kids, you know, I gained a lot of weight with my pregnancy, and there was just nothing I could do," she shared. "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.”

Although she's satisfied with the results, Madison said she purposely took a conservative approach.

“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 said.

Following the procedure, the model took a two-week break from work and recovered at a Los Angeles hotel with the help of a nurse. Madison also revealed that small scars from the facelift are still visible around the front of her ears, though she usually hides them with makeup or earrings.

“If you look close, you can totally see it, but I don’t care,” she admitted. “I’m kind of open about it. I already talked about it on my podcast.”

Madison also shared that she has undergone several non-surgical cosmetic treatments over the years, including CO2 laser treatments under her eyes, IPL laser therapy and Botox.

She noted, however, that some procedures don't turn out the way people hope.

“Some people, it just doesn’t work for, for whatever reason,” she explained. “Their body will reject the implant or they’ll get the br---- implant illness, or the surgery will be kind of botched.”

According to Madison, those complications can lead people to “want to try again,” she said, adding that it “sadly can turn into this never-ending” pursuit.

She also admitted that one treatment she regrets was a hand rejuvenation procedure, which she bluntly called a “waste of money.”

Madison has previously spoken about how her years at the Playboy Mansion affected her confidence.

She admitted that living there in her 20s “created body dysmorphia for me.”

"I was always kind of wondering what's wrong with me," she recalled, explaining that she constantly compared herself to the other Playboy models.

Madison also said those insecurities were reinforced by the late Hugh Hefner.

"[Hugh] had a way of making me feel like I wasn't pretty enough, and I would look around to everybody else and constantly be wondering, what's so different about them and why are they so much better?" the mother-of-two remembered. "It was constantly like, 'What can I do? What can I change? How can I look better?'"

Looking back, Madison said her desire for cosmetic surgery wasn't about pleasing someone else.

“When I look at what the typical Playboy bunny looks like with the blonde hair and big b----, I always wanted to look like that. That was just something I would see and it would resonate with me, and it wasn't to impress any certain person," she shared. "I just wanted to look like that, and that's what attracted me to the Playboy brand in the first place.”

Despite struggling with self-doubt, Madison said she's grateful she didn't undergo more procedures.

“I could be looking like a plastic surgery nightmare right now!" the Down the Rabbit Hole author confessed. "Because it was just constantly me wondering, what's wrong with me? What's wrong with me?”