I’m surprised she waited until after her Playboy shoot to do this.

For the past few weeks, paparazzi shots of Heidi Montag and Spencer Pratt were few and far between. And though we were secretly hoping they had simply left the country (for good), the two were actually working on a top secret project: Heidi’s total makeover.

On November 20, the 23-year-old reality star decided to go under the knife once again. This time around, she opted to do a total of ten surgeries in ten hours. Why? “I would say the reason is to feel better, to feel perfect,” she told People magazine. “I am obsessed with plastic surgery and with maintaining my looks.”

Here’s a breakdown of the surgeries The Hills star had done:

1. Mini brow lift
2. Botox
3. Nose job revision
4. Fat injections in the cheeks
5. Chin reduction
6. Neck liposuction
7. Ears pinned back
8. Breast augmentation revision
9. Liposuction on waist, hips, thighs
10. Buttock augmentation

And just in case you were wondering if Montag’s transformation is complete, it’s not. She has future plans increase her DDD-sized breasts. “I’m already planning my next surgery – I’m determined to get bigger ones!”