Holly Madison, 46, discusses cosmetic surgery in a personal update, saying she had a “lower facelift.” Alongside this, she also describes undergoing other procedures over time, detailing the surgeries she has had. The reports present her account as a set of personal, medical decisions rather than responses to any external event. Both outlets frame the information as Madison’s own disclosure and focus on her description of the types of surgery she has undergone, including the facelift procedure. The coverage does not indicate a specific medical diagnosis or treatment plan beyond the cosmetic context, and it does not describe any complications or outcomes in detail. The articles are consistent in that they name the same surgery—characterized as a lower facelift—and present it as part of a broader list of her past surgeries. Overall, the information reflects Madison’s public statement about elective procedures and her willingness to talk about them.