Newsflash: Holly Madison wasn’t born good-looking! A life long struggle with self-image drove Holly Madison — formerly known the head hottie in charge at the Playboy Mansion — to alter her appearance through a series of cosmetic surgeries.

Holly explained her transformation to Life & Style Magazine, saying she was never happy with her body in the chest department before getting a boob job.

“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.”

“I always stuffed my bra,” the 29-year-old former Girls Next Door star reveals in the Sept. 14 issue of Life & Style. “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!”

How Did Holly’s Relationship With Hugh Hefner Impact Her Self-Image? “Living with Hef brought down my self-esteem a lot,” she says. “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.”

Why Did Holly Get Breast Implants? “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.”

Holly Explains Her Nose Job: It “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.”

Would she consider having more surgery? “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.”