Heidi Montag has gotten bad Botox along with a possible facelift over the last few years. The reality star clearly suffered from serious self esteem/insecurity issues. In fact, she once explained how she viewed her self as an "ugly duckling" (before surgery). The point of it all was to "perfect herself" (which obviously backfired). Since then, she's at least allowed the Botox to wear down which in turn achieved a mildly more natural look. This photo shows Heidi Montag's physical transformation.
It's startling how much Heidi Montag's face changed.
Botox makes it quite difficult to make normal facial expressions (because it temporarily paralyzes facial muscles, or "relaxes them"). Ladies and gentleman... please tread carefully when dealing with Botox...
It's amazing how attractive she used to be. What was she possibly insecure about?!