Has Vanderpump Rules’ Ariana Madix Had Plastic Surgery? Transformation Photos, What She’s Said

2013

Ariana was new to the world of reality TV when she walked the red carpet of the Vanderpump Rules season premiere. The show didn’t even have its own solo event, as it was combined with the premiere for The Real Housewives of Beverly Hills’ new season.

2015

The Bravo star wore minimal makeup to OK! magazine’s “So Sexy” party in New York.

2016

Ariana’s complexion looked flawless, and her hair was long and straight at the 40th anniversary of Soap Opera Digest party.

2017

The Bravolebrity wore a short bob and a plunging gown while attending the annual Jingle Ball concert in Los Angeles.

2019

Ariana’s perfect skin glowed at the third annual JBL Fest in Las Vegas.

That same year, the actress discussed non-surgical methods she used to address other facial features she was dissatisfied with. After revealing on an episode of Vanderpump Rules that she didn’t “have a jawline,” Ariana received Kybella injections to help with her chin area.

Ariana’s doctor, established board-certified plastic surgeon Dr. Gregory Mueller, told Bravo’s The Lookbook in August 2019 that he used a technique called Ellevate to transform her neck and jawline.

The doctor explained how it was “a great procedure for patients that are wanting to be preventative, and/or not ready to completely go under the knife.” It’s “the perfect way to restore a youthful appearance and shape” or “to improve a less-desired, genetically inherited neck,” while showing off before and after photos of Ariana following the use of Ellevate. The results are immediate and extremely long-lasting, with patients not needing to have another treatment for five-plus years in many cases.

2020

The Florida native wore a dramatic dark burgundy lip to the Fantasy Island film premiere.

2021

During a January 2021 round of true-or-false questions on Instagram, the former SUR bartender responded to a follower’s question about the last time she got injectables.

“I DON’T have any [Botox] or fillers,” Ariana wrote. “It’s been years since [I’ve] done anything at all.” However, the blonde beauty explained that when she had experimented with injectables in the past, she was able to quickly move past any results she was unhappy with.

“Many people are unaware that [fillers] all last around three months. Meaning someone can try it and then say, ‘Meh not for me’ and move on with no lasting effects. Your body metabolizes it,” Ariana wrote.

“[I] tried botox on camera [during Vanderpump Rules season 5] and it never aired. [I] felt claustrophobic in my own face and it just wasn’t for me,” she explained. But Ariana has had very subtle lip injections. “I’ve gotten 0.5 ml … a few times to smooth out the deep wrinkles I have and any more than that and I look crazy.”

But her lips are where the fillers end, as her face is free of injectables. “I have never done fillers anywhere else because I don’t want to plump my face up any more,” Ariana added.

2022

Ariana donned a daring cut-out top to the I Want You Back film premiere.

February 2023

A whole new look! Ariana sizzled in sandy-hued longer curls at the Vanderpump Rules season 10 premiere red carpet. This photograph was taken shortly before the news broke about Tom Sandoval and Raquel Leviss‘ affair.

April 2023

The drama can’t keep her down! Ariana looked absolutely gorgeous while attending the White House Correspondents’ Association Dinner amid Scandoval.

2024

Amid her popularity as the Love Island U.S.A. season 6 host, fans speculated about subtle changes in Ariana’s appearance and wondered if she had undergone any recent cosmetic procedures.

“Stunning injectables have entered the villa. Ariana continues to show the Love Island world how cosmetic work can preserve and enhance and not age and distort,” the caption of an Instagram post on @Baileysbotox began in July 2024. “What does proper volume replacement with filler look like? This. Nearly invisible, like she simply hasn’t aged since her first season of VPR. The apples of her cheeks remain full instead of flattening over time. Her under eyes appear rejuvenated and rested without puffiness or crowding.”

The user behind the account, who was a professional aesthetic injector, guessed that the Peacock star had received filler, botox and liposuction in her face.

“I’ll tell you what I’ve had! You’re partially correct,” Ariana wrote in response in an Instagram comment. “Tox in 11’s, outer brow, and my neck. Ellevate for my neck in 2019 by @theneckdoctor. Minimal lip filler bc my face is too small to handle very much and filler in my chin. Absolutely no filler anywhere else and def no [blepharoplasty] yet. Hope this helps! I’ll keep y’all posted if I do anything else.”

February 2025

Ariana blew fans away with her guest role on Will Trent in February 2025. The VPR alum played herself, but with a bit of a twist, showing off her martial arts and dance skills throughout the episode as she helped Atlanta detective Michael Ormewood (Jake McLaughlin) find her missing friend. In the end, Ariana and Michael even shared a passionate kiss, which had many viewers begging for her to return.