Heidi before (left) and after (right) her nose job.

Fans of reality TV (or anyone who enjoys a good guilty pleasure!) are no doubt acquainted with MTV’s highly addictive Laguna Beach spinoff, The Hills. And one of the most polarizing “characters” on the show is none other than Heidi Montag, Lauren Conrad’s notorious paparazzi-baiting frenemy. While Heidi initially made her name as LC’s ex-BFF and Spencer Pratt’s better half - to use the term loosely - in recent years she’s also become the poster girl for rhinoplasty. That’s right: The Heidi Montag nose job has been confirmed! Check out these before-and-after pics of Heidi Montag’s nose job to see the evidence for yourself. On the left, Heidi sports her natural nose; on the right, her post-plastic surgery schnoz. The bridge of her nose is thinner and the tip is more pointed and refined. Does it give her face a prettier, more elegant look, or does she just look fake? The jury’s still out on that one, but one thing is certain: Heidi Montag herself is more than happy with the results of her nose job. Check out what she told Us Weekly about her plastic surgery back in 2007:

I think Lindsay Lohan has a good nose, but I looked at models, mostly. I brought in 400 photos, probably. When I got the splint taken off, I was just like, ‘Thank you!’ I had a lot of extra cartilage, and they shaved it down. I can breathe so much better now. I’m like, Twice as much air! My voice has cleared up too. It used to be higher, and now it’s more my voice. I used to have a crazy sleeping disorder - I woke up for 15 minutes out of every hour - and now I sleep through the night.

What are your thoughts on the Heidi Montag nose job? Upgrade or downgrade? And do you buy any of her “medical reasons,” such as the breathing difficulties, voice problems and sleeping disorder, or do you think she’s just trying to make excuses for her vanity? Either way, you have to give Heidi props for at least coming clean about it. That’s more than you can say for a lot of celebs!