“The excessive weight of the implants in these extreme augmentations almost always leads to chronic lower back pain and significant drooping of the breasts,” says New Jersey-based Dr. Lyle M. Back. “Often, the entire balance of the spine can be thrown off, resulting in chronic neck strain, painful shoulders and even a stooping posture.”
San Francisco plastic surgeon Dr. Joel Beck thinks she also may have trouble breastfeeding. “If the breasts are too big, the baby can’t latch on to get a mother’s milk,” he says. With age, he adds, “the implants will thin the [skin] tissues and require a breast lift.” When the size is unnaturally oversized, implants could even “erode through the skin and be exposed, mandating [their] removal,” adds Dr. Beck.
But her second nose job could have “the most potential consequences,” warns Dr. Mark Berman, president of the American Academy of Cosmetic Surgery. He tells Us that Montag may lose the ability to breathe through her nose if her nostrils have been “narrowed too much.”
“There’s a lot of pressure to look a certain way in Hollywood,” admits Dr. Larry Fan, a Harvard-trained leader in aesthetic plastic surgery. “It’s just not emotionally healthy to want to change so many things about your appearance at all once. I am most concerned about Heidi’s emotional health and sense of body image.”