Ariana Madix Shares the Cosmetic Procedure She Just Had Done for the ‘First’ Time — and Why She Can’t Get Facial Fillers

Ariana Madix is an open book when it comes to the cosmetic treatments she’s had done. While speaking to Page Six’s Virtual Reali-Tea podcast hosts Evan Real and Danny Murphy, the Vanderpump Rules alum, 39, revealed that she’d just had her “first laser treatment.”

“I’ve been very interested in that for a long time. I keep things at a minimum,” Madix said while discussing the procedures that she’s gotten.

The Love Island USA host, who is set to turn 40 on June 24, also said she gets Botox “every six months or so.”

“I just got a little bit in my lips because they were getting really crusty on the inside. I never go more than 0.5 at a time … Because I never want to look crazy,” Madix added of lip fillers on the podcast.

“Fine lines, I don’t give a s— about, but skin laxity is something I’ve been dealing with,” the reality star explained of her decision to start getting laser treatments.

Madix also revealed that she’d been advised she’s “not even a candidate” to get facial fillers, as she doesn’t “have the structure to support it.”

“That’s why we started on the lasers. So I will report back after I’ve had all the things,” the TV personality told the hosts, adding that she also drinks “insane amounts of water, like 100 ounces a day” and is “constantly” at the gym.

She insisted she doesn’t “want to be preoccupied” with the idea of aging “too much,” while acknowledging that there is “a lot of pressure” in the industry.

“But at the same time, if you feel good about doing something, go ahead and do it. At the end of the day, it’s nobody’s business,” Madix added.

“I am in a position where that stuff does matter, but I also know … I’m going to get older no matter what. … If you don’t age, you just die. I’d rather be aged than dead,” she told the podcast.

Madix’s latest comments come after she shared all the work she’d had done to maintain her youthful looks in July 2024 after an Instagram user — who is an injector and aesthetic physician assistant — posted before and after photos of the star the month prior, while speculating the cosmetic procedures she’d had over the years.

“Stunning injectables have entered the villa. Ariana continues to show the Love Island world how cosmetic work can preserve and enhance and not age and distort,” the woman wrote, claiming that she believes the Bravo star has gotten lip filler, volume replacement filler, jawline contouring with liposuction, and a blepharoplasty to remove excess eyelid skin.

On July 17, Madix responded to the video, setting the record straight on her appearance in the comments.

“i’ll tell you what i’ve had! you’re partially correct,” she wrote. “tox in 11’s, outer brow, and my neck. ellevate for my neck in 2019 by @theneckdoctor. minimal lip filler bc my face is too small to handle very much and filler in my chin.”

“absolutely no filler anywhere else and def no bleph yet ❤️❤️,” she added. “hope this helps! i’ll keep yall posted if i do anything else.”

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Madix also previously admitted during Elle’s “Waking Up With” video series that her skincare routine was as simple as it gets, insisting the only time she’d been to a dermatologist was when she had melanoma.

In 2019, Madix revealed she had a procedure to remove skin cancer from her chest the year prior.“When you raise concerns with a doctor, be persistent,” she said at the time. “They told me I was fine for years.”

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