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Valerie Bertinelli has openly shared her journey with cosmetic enhancements aimed at improving her appearance.
In her latest release, Getting Naked: The Quiet Work of Becoming Perfectly Imperfect, published on Tuesday, March 10, Bertinelli, 65, revealed her experiences with breast augmentation and Botox.
Reflecting on her first encounter with Botox in 2019, she realized it was not suitable for her. “The instant change in my eyebrows’ shape, and consequently my face, was unsettling since my face is how I identify myself,” she explained. “I didn’t appreciate the altered version staring back at me. The thought of waking up to an unfamiliar reflection was daunting.”
Bertinelli admitted to trying fillers and Botox in her 50s, driven by a desire to combat signs of aging like puffy eyes and sagging skin. “I wanted to appear younger and less fatigued, although I wasn’t certain of the exact age I aimed to resemble,” she confessed.
“Don’t get me wrong. I am not against plastic surgery or Botox and fillers,” she added. “Some people look amazing when it works. They feel much better about themselves after a procedure. I get it — and I’ve been there.”
When it comes to going under the knife, Bertinelli opened up about having a “complicated relationship” with her breasts. “Mine were mocked relentlessly. They were called ‘little quarters,’ ‘itty-bitty titties,’ and ‘tiny boobies,” she shared. “I took it all to heart. Instead of appreciating the changes my body was going through, I dreaded them. I had no idea what I was supposed to look like; I only knew it was wrong.”
Bertinelli then got breast implants, but never wanted to “put them on display.” She shared candid details about her “old implants,” which she described as “ostrich eggs, hard and crusted over.” If a breast implant ruptures, it can cause pain, hardening of the implants and lumps.

“I couldn’t believe they had been in my body,” she wrote. “I went home bandaged and sore, with drains under my arms, uncomfortable but hopeful. For the first two weeks, everything was great. About a week later, my right breast took on shades of green, yellow, and blue. The next day it started to swell and turned a dark purple. I felt myself getting dizzy. By nighttime, I was running a fever.”
She shared that her “right breast” needed “six months to heal? the infection” and “grow back the missing tissue.” Months later, Bertinelli got a third surgery to install “another small implant under the muscle” to restore “what was left of [her] nipple.” Bertinelli shared that it took a year for her “boobs [to take] shape.”
“They are now two completely different sizes; the implant on the left is over the muscle, and my right side is sad and misshapen,” she explained. “Eventually I will have a fourth operation that will, I am assured, even things out once and for all.”

