Vacationing in Costa Rica, or allegedly secretly meeting with her ex, Spencer Pratt, over some XXX sex tapes, this recent picture of Heidi Montag splashing in the surf has been making its appointed rounds across the internet. As you can clearly see, her nose is bandaged.

Although she has stated several times that she is happy with her looks, and has no foreseeable plans for more plastic surgery in the near future, could this be a sign that she truly IS addicted to going under the knife? Or is this a sign of body dysmorphic disorder?

As we all know by now, Heidi has famously gone through 10 procedures in one operation, which included a nose job. Although you can’t tell much by the bandages, my guess is she had the bridge of her nose thinned or some cartilage removed. As those procedures are done from the inside of the nose, the bandage is more than likely there to cover any bruising and swelling the surgery created.

If this is another nose job for Heidi, this would be a good one to stop on. Her nose was thin enough and, if she continues on with more rhinoplasty, she may wind up needing replacement surgery to rebuild the natural skin and cartilage she has destroyed trying to make herself look *better*.

Whether an addiction or some warped self image, Heidi is definitely the poster child for too much plastic surgery.