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Girls Next Door’ star Holly Madison admits she has had several plastic surgery procedures over the past few years

Madison, 27, decided to get implants in 2001 and a nose job two years later.

“I felt I looked the worst when Hef and I got together in 2001,” says Madison.

“I always wanted to have my boobs done, because I wanted to be more proportionate. I was a 34-A, but I’m curvy in other areas, so I always wore padded bras and stuffed my bras with socks.

So what does the blond beauty do to stay in shape?  Madison’s nonsurgical “secrets” to looking great is working out three times a weeek with  yoga, weight training and hiking, and she does her own makeup using Alexis Vogel cosmetics.

Madison said she does not plan any more operations.

“I wouldn’t consider more surgery – unless my body implodes after I have kids! And I’m scared of getting stuff [like Botox] put into my face. It makes you look like you have a rubber mask on. Beauty is truly on the inside. Looks don’t define you – they’re just a tool to get what you want.”