Jan. 26, 2010 -- The controversy surrounding reality TV star Heidi Montag's transformative plastic surgery flared anew with a report in People magazine that Montag's mother was "horrified" by her surgeries.
The magazine quoted an anonymous source "close to the [Montag] family" as saying that Montag's mother, Darlene Egelhoff, "is horrified and having a total breakdown. She can't wait to confront Heidi when she goes home."
But Montag told "Nightline" in an interview last week that her mother knew she was going to have plastic surgery. Montag went on to say that she was even planning to schedule a "mommy makeover" with her plastic surgeon for her mom.
Montag, 23, recently came out of hiding after dramatically reshaping her face and body. She said she had 10 different plastic surgery procedures done in one marathon session.
"I had talked to her about [surgery] before," Montag said. "And I've had this conversation with her several times. So I think she knew. ... I already heard what she had to say."
Montag said she didn't tell her mother the exact date of her surgery to avoid a media blitz.
"I had the keep it quiet from the press and the media because I didn't want it to be a circus," said Montag. "And I didn't want it to be crazy media outside my house."
Contrary to the People magazine report, the reality TV star said her mother was "supportive." Montag had breast implants, a brow lift, botox in her forehead, a nose job revision, fat injections in her cheeks, a chin reduction, neck liposuction and had her ears pinned back.
ABC News reached out to Edelhoff, who declined to comment publicly.
"She says, 'Whatever makes you happy,'" said Montag of her mother. "And 'Great,' and, 'I could definitely see your boobs looking incredible bigger,' and you know, my mom's very ... supportive about whatever makes you happy in life."
Montag said her mother wanted to follow her lead in going under the knife. "Actually, she was excited for me and she's asking me ... for her surgery next," said Montag. "So for Mother's Day, I have to ask [surgeon] Dr. Frank Ryan if he'll do the mommy makeover. But I think that she understands. And I think the first surgery was a little more weary for her, and a little more foreign to her, and she was a little more concerned."
Montag: 'I'm Not Addicted' to Plastic Surgery
Montag caught the public's eye on MTV's "The Hills," and her star continued to rise on the reality show "I'm a Celebrity, Get Me Out of Here!" Now she has released an album -- one that she hopes will turn her into a pop phenomenon.
But Montag's blueprint for stardom is not limited to music. It also includes plastic surgery.
"Yeah, I had my legs liposuctioned on the inside and the outside," Montag said. "But it wasn't really to take out the fat. It was more just to contour the legs. And then I had my back-- scooped out a little bit to help give a curvier look and then a little bit on the sides, too."
Some hospitals don't allow elective plastic surgeries to extend beyond six hours because of complications, but Montag said she spent 10 hours under the knife. She admits the procedures were extremely painful and the recovery taxing.
"I went to an after-care place," Montag said. "And I was in so much pain, and like, literally crying, and just saying, I-- I felt like I wanted to die almost."
We asked her how she would respond to critics who say she's addicted to surgery -- or to fame itself.
"I would say that none of those people know me at all," said Montag. "And that's just a judgment. I'm not addicted."
"The Hills" star said she had surgeries done three years ago as well, but that the intervening procedure-free time proved she was not addicted.
"If you're addicted to something, you have to do it all the time, not once every couple years, if even," she said.
If she's not addicted, she's admittedly obsessed.
"Before I went into my surgery, I was obsessed because I had to look through hours of photos of which boob size I wanted in 'Playboy,'" she said. "I did do that. I did for hours, and looking at which size, and how it looked, and what it would like on my body...You have to be prepared for your surgery. So if you're going to do surgery, it's like doing research, you know, for a paper that you're writing. You really want...to show the doctor the photo so there's no misconceptions, because I don't want to go in again."
But why go in at all? Montag says one reason is that she was teased about her looks as a child. But she also wants to become a pop star.
She told People magazine that she's entering the world of music and that she feels like she's competing with the likes of Britney Spears.
"I am trying to be a pop star, and I just have my album that came out," said Montag. "And, you know, it's a very cutthroat industry. And it's a very cutthroat business. And when Britney was in her prime, it was her sex appeal that sold. And without that sex appeal, I don't know if she would have had the career she would have had."
Montag's surgeon, Dr. Frank Ryan, defends his patient's decision, saying its not uncommon in Hollywood.
"We're getting literally hundreds of calls from patients who want the Heidi Montag bombshell," he said.
But why so much plastic surgery?
"I disagree that it is that much plastic surgery," said Ryan. "These are little tweaks and things we did ... these were all kind of small things. ..."
Montag said she liked the change. "I see ... improvement," she said. "I think that it sounds crazier than it looks."