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In the Real Housewives franchise there are two sets of women: Those who adamantly deny getting plastic surgery (even if photos suggest otherwise) and those that wholeheartedly embrace it. One city that tends to fall into the latter category is New Jersey. Teresa Giudice had her girlfriends help her pick out her new “bubbies.” Siggy Flicker made the most epic entrance onto the show filming her first scene in a scarf and bandages after getting a face lift. And longtime housewife, Jacqueline Laurita, has always been very open about her many plastic surgery ventures. And her latest (her fourth boob job) is so memorable, we’re unveiling the results of her cup size reduction and breast tissue reduction right here.

Image zoom Courtesy Jacqueline Laurita

After being unhappy with her breast size for years and getting increasingly fearful that her silicone implants could rupture without her knowing it, she decided to take her 7-year-old silicone implants out three years early (they need to be changed every 10 years), and go for something much smaller and much, much safer. Back in December Laurita made the decision to ditch silicone altogether for Ideal Implants. Ideal is made of a saline solution that offers the feel of silicone gel, with the safety of saline inside (which means that if they leak, your body will absorb the saline safely).

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Laurita had breast surgery after all three of her children were born, but always opted for silicone-gel implants over saline back in the day because she wanted a natural feel. “At the time saline weren’t natural-feeling and could ripple along on the sides and feel like water balloons, so I went for the silicone because I wanted natural-feeling boobs,” Laurita tells PeopleStyle.

But as time went on, she heard more and more horror stories of silicone implants rupturing — without the woman even knowing. Her friend’s ruptured and spread all throughout her body, much like Yolanda Hadid’s situation, chronicled on The Real Housewives of Beverly Hills. Even with her regular MRIs (which anyone with silicone needs to do every two years) she was paranoid. “Anytime I went to get a mammogram and I was so worried I was leaking, or the doctor would make me leak during the mammogram,” she said. “I always had that fear in my head. I was always paranoid about popping the silicone whenever I put any pressure on my chest.”

RELATED PHOTOS: All of the Real Housewives Who Have Denied Getting Plastic Surgery

So when it was time to change the implants she got seven years ago after the birth of her son Nicholas, she decided to make a change. “I started doing my research on implants and looking for something new when I found Ideal,” she explains. “They have the softness and naturalness of silicone but don’t ripple or slosh around. You don’t have to do MRIs anymore, and if it ruptures you know immediately because it will collapse.”

She found a new doctor, Dr. David Rapaport, to do the surgery and opted to go a size smaller (back to a size C) and removed some of her own breast tissue, which had grown over time. “Some people lose breast tissue as they grow older, some gain. I’m the kind that gains,” she says. “I started looking like my aunt Rose.”

And needless to say, she’s much happier now. “They feel so natural and my clothes finally fit how I want them to,” she explains. “Things zip up better, I can wear button-up shirts without tank tops underneath. It’s great.”

And most importantly, her husband is also a fan: “He says they feel great.”

She first got breast augmentation surgery after having her first child. “When I was younger I always wondered why people got their boobs done, I would think ‘That’s so gross,’ and then I had a kid. After I had my daughter my natural full C-cup boobs were gone. I lost my whole upper chest, my boobs were sagging and it was really gross. And I always wanted to put them back up there and I couldn’t really afford to do it until I was 30 years old.”

Over time, she’s also experimented with a lot of facial plastic surgery procedures too. She had her upper eye lids done before last year’s reunion, she’s had a nose job, a neck lift, a tummy tuck, and does noninvasive procedures as well, including Botox and fillers.

“I haven’t had a face lift yet, but I am considering a lower face lift,” she shares. “I would love to do my lower eyes. They take out the bags, puffiness, extra skin. I’ll never say I won’t do something because I used to be completely against plastic surgery when I was younger, then I got older and started falling apart.”

Although we would argue Laurita would look gorgeous with or without surgery, she does always have impeccable makeup looks every time she’s on camera. “For normal filming days I always do my own but for taped interviews, either [her daughter] Ashlee Holmes or George Miguel will do it.” She started out as a cosmetologist and has kept on top of beauty news and trends throughout her years on reality TV. So we had her open up her makeup bag for us to see which products she swears by to a achieve her everyday look.Face: Makeup Forever HD High Definition primer and foundation, $41; sephora.com

Eyes: Maybelline “The Colossal” waterproof mascara in glam black, $7.29; walgreens.com

Lashes: Ardell Demi Wispies, $5.49; sallybeauty.com

Lips: Lancôme Lip Liner Ideal, $26; nordstrom.com

Skincare: Roloxin Lift Gold, $33; sephora.com (“This is a great mask to give you a little extra lift and a luminous look that lasts for an entire day of filming,” says Laurita.)