What do Joan Rivers and Heidi Montag have in common? Yes, they’ve both had numerous cosmetic surgeries; but so have a lot of other celebrities. The real commonality that these two share—the one that sets them apart from other surgically-enhanced stars—is the fact that they actually admit that they’ve had them! Cosmetic surgery has been around in some form since as early as 800 BC, but it’s only in the last century that it has entered the mainstream. When this happened, and elective cosmetic procedures came on the scene, suddenly anyone who wanted to alter the shape of their nose or the size of their breasts could do it; anyone, that is, who could pay for it.

What began as a coveted prize available only to a privileged few has now become widely available; today, plastic surgery costs are far lower than ever before, and the rich and famous aren’t the only ones who can afford it anymore. But they’re still the ones in the spotlight—and even though most of them have some kind of cosmetic work done at some point, most won’t cop to it. Which makes Joan Rivers and Heidi Montag something of a rarity, all things considered.

While Rivers and Montag may not have had as much work done as, say, Cindy Jackson—who, at a whopping fifty-two procedures, holds the Guinness World record for most plastic surgery procedures undergone—they have certainly had their fair share of work done. Between the two of them, Rivers holds the prize for most jobs done—this is, after all, the woman who told The New York Times, “I’ve had so much plastic surgery, when I die they will donate my body to Tupperware.” She’s had two face-lifts, an eye lift, a breast augmentation, a nose job, and liposuction, and she gets regular Botox injections . . . and that’s not even a complete list!

Montag, meanwhile, has set her own record in the cosmetic surgery arena. She may not have had as much work done overall as Rivers has, but she’s probably had more done all at once: On November 20th of 2009, she had ten procedures done in one visit, including a boob job, brow lift, nose job revision, butt augmentation, and liposuction.

At the end of the day, it’s entirely possible that there’s some other celeb out there who’s had more work done than either Montag or Rivers—but if there is, they’re not talking. Until they do, these two will continue to be the poster children for Hollywood cosmetic surgery stories . . . and if nothing else, they deserve kudos for being honest about it!