After Heidi Montag went under the knife in 2007 to enlarge her breasts and streamline her nose, she thought she would be done perfecting her body. "No more surgery for me," the reality star claimed. But all that changed when Heidi went back to her plastic surgeon's office for a more than $50,000 full-body overhaul on Nov. 20, 2009.

Fast-forward to Jan. 22. Heidi and hubby Spencer Pratt sat holed up in their Pacific Palisades, Calif., home, in shock over the hate mail the 23-yearold had been getting about her extreme makeover. "Spencer ordered about seven bunches of flowers to cheer up Heidi because she'd received a letter or an e-mail saying that her plastic surgery was against God's will," a neighbor of the couple tells Life & Style. "Heidi's apparently very spiritual, so this kind of criticism really stings."

While strangers' opinions shouldn't matter, even friends think Heidi's decision to undergo 10 procedures in a single day went overboard -- to a dangerous degree. "She looks like Cat Lady," a pal of Heidi's tells Life & Style. "It's all a little too much." Spencer was also horrified by Heidi's appearance, according to his friend. "He loved how Heidi looked before this surgery," a friend of Spencer's tells Life & Style. "Because she's still swollen and the surgery hasn't settled yet, he's a bit shocked."

Still, Heidi doesn't think she has a problem. "Every starlet is getting surgery every other day to keep up her looks," says Heidi. And supermodel Janice Dickinson thinks Heidi shouldn't make any apologies for her surgeries. "She looks fantastic," Janice tells Life & Style. "And she loves the fact that she's being compared to Pam Anderson, which, in my mind, she very well could be." Janice's only gripe? She thinks Heidi is destroying Dr. Ryan's reputation by saying she almost died. "Any time anyone comes out of anesthesia, you're going to be weirded out," says Janice. "Personally, I live for it."

For more on Heidi, pick up the latest issue of Life & Style, on newsstands today!