In April 2007, Montag had a breast augmentation and rhinoplasty. After much media speculation, Montag spoke to Us Weekly about her surgeries in September 2007. In January 2010, Montag revealed to People magazine that she had ten plastic surgery procedures in one day, performed by Dr. Frank Ryan on November 20, 2009. Among the procedures were brow-lifts, ear-pinnings, a chin reduction, as well as a second rhinoplasty and second breast augmentation. She revealed that she almost died from too much Demerol, reducing her breath rate to five breaths per minute, but said it was worth it.
In December 2010, Montag appeared on the cover of Life & Style magazine, revealing scars caused from her surgeries.
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