Girl Next Door Holly Madison gives a revealing interview for the latest issue of Life & Style. The 29 year-old former Playmate, who says living with Hugh Hefner was not good for her self-esteem, openly talks about her insecurities and admits to had had extensive plastic surgery (before and after photos below).

Here are some highlights from Holly Madison’s Life & Style interview:

On her pre-plastic surgery body: “I always stuffed my bra. In fact, I had a boyfriend for years, and we moved so slowly. We didn’t have sex for a long time because I had to gradually bring down my bra size so he wouldn’t find out I stuffed my bra!”

On her issues with confidence: “Living with Hef brought down my self-esteem a lot. I was comparing myself to the other girls… You have to look a certain way at the mansion. If you look at Hef’s girlfriend now, she basically looks like a clone of me. It’s kind of weird.”

On going under the knife: “When I was younger, I was the first person in my class to start getting boobs, so I thought I was going to be huge. But I stopped growing before everybody else started. That was a big letdown… I compared myself to those [Playboy playmates]. I knew what I wanted to look like and was kind of disappointed. I had a butt and no boobs. Plastic surgery made it easier for me to get things I wanted in my career. Without it, I wouldn’t be where I am today… My nose photographed really big in front of my face. If I wanted to do anything in the entertainment industry, I needed to get it fixed. I was definitely happy with the results. It made me more confident. And a lot of doors open when you look a certain way.”

On future enhancements: “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.”

Holly Madison Before & After Plastic Surgery Pictures

[images: Life&Style, wenn.com]