Lisa Vanderpump along with all the Real Housewives of Beverly Hills have had extensive plastic surgery. The before & after picture shows her facelift and Botox injections. You'll notice she had these procedures to reduce crows feet and add volume around her jawline. At first glance it's pretty obvious she had cosmetic surgery, but it wasn't too overdone. Beverly Hills seems to accept over the top plastic surgery as the norm, so let's hope she doesn't enter that category any time soon.