Vicki Gunvalson

Moved to tears last season when costar Slade Smiley called her Miss Piggy, the Real Housewives of Orange County star, 51, took action to change her looks in September 2012. "I've always felt like I'm not pretty enough," she confessed to Us Weekly of her decision to thin her nose, get a chin implant, and have body fat injected into her face to erase wrinkles. (She previously also had two breast augmentations.) "I'm still numb -- it'll take a year to fully heal. But it didn't change me inside!"

Tamra Barney

Barney had buyer's remorse after getting size-DD implants several years ago. In 2007, the engaged mom of four replaced them with C-cups, only to remove those a few years later in 2011. (She's now a 34B.) "My breasts were the first thing everybody looked at," the Orange County housewife explained to Us of why she backtracked on her original decision. Now, she said, "I feel more confident when I wear a low-cut shirt."

Lisa Hochstein

The Miami housewife, 30, first went under the knife at age 18, when she had her A-cups upped to Cs. A little less than 10 years later, she had another breast augmentation -- by plastic surgeon husband Lenny Hochstein -- to repair the previous job (which left her chest lopsided) and increase her Cs to Ds. "They look natural," the former Playboy model said of her new breasts.

NeNe Leakes

Leakes, 45, has been candid about getting work done. "If anything falls, I pick it up!" the Real Housewives of Atlanta star and mom of two told Us Weekly of her breast lift, rhinoplasty, and liposuction. "As long as you don't look plastic, a little nip and tuck is okay!"

Kyle Richards

Despite being "terrified of needles and blood," the Beverly Hills housewife, 44, had a nose job in 2006 and liposuction in 2012. "My nose bothered me for a long time," she told Us in March 2013. "The surgery made me feel better." As for the second procedure? "After having four kids, no matter what exercise I did, the love handles wouldn't go away!" she explained. "I'm very happy with the results!"

Brandi Glanville

Unhappy with her breasts after the birth of sons Mason and Jake -- she told Us they looked like "tube socks with balls at the ends" -- Eddie Cibrian's ex-wife told a plastic surgeon to "fill them out but make them small." (She upgraded to B-cups.) Following her divorce from Cibrian (who had an affair with singer LeAnn Rimes), the Beverly Hills housewife got vaginal rejuvenation surgery and charged it to her ex. "It was painful, but I had very good results," she said.

Teresa Giudice

The Real Housewives of New Jersey star was motivated to upgrade her once-perky A-cups to C-cups in 2008. "After I breast-fed, [my breasts] looked different," she has said. "They were deflated. I was just a big nipple...I never liked how I looked in bathing suits." Now 40, the mom of four feels more confident than ever. "I feel much sexier!" she gushed.