Isn't that cute? Heidi Montag (sans new nose) and hubby Spencer Pratt volunteered at the Los Angeles Mission last holiday season. This photo would make for the perfect Christmas cards from this skin-deep couple.

So what is this obsession the attention-loving “actress” Heidi Montag has with her face? Supposedly, she has gone under the knife twice – the second time having had 10 plastic surgery procedures in one day!! Is she trying to look as good as possible for her and husband Spencer Pratt’s photo Christmas cards next year? What’s going on here? No male whose eyes can still focus would honestly think that her face needed any tampering – especially at the age of 23. It is pretty obvious that she is very insecure, reportedly having had rhinoplasty, breast augmentation, and collagen lip injections three years ago.

So why the lack of confidence? Is it because deep down she feels she’s talentless? Is the only way she can become a success in life to flaunt her physical attributes? Perhaps. Her foray into the music business several years ago was certainly not a success. Although she worked with successful producer David Foster, his magic did not work in her case, as her debut album, Superficial – which cost upwards over two million dollars to produce – sold a measly 1,000 copies its first week of release and has sold maybe 7,000 units in total. Not an auspicious debut by any means!

So what does this young woman look forward to? More plastic surgery? “Possibly,” she says. A well-known plastic surgeon basically feels women who say they absolutely must have more and more of these types of procedures often need counseling. Getting a stormy relationship back on track or securing a part in a TV show or movie is not a good reason for having plastic surgery.

Whether her priorities are a bit mixed up or not, this doesn’t necessarily mean she is not a good person. A few years ago, she and Spencer’s Christmas cards may have included a photo from their Christmas Eve visit to the Los Angeles Mission, where they helped serve food to the needy and handed out Christmas presents to children. Now that is what is important – not nose jobs and fake breasts!