PHOTOS: Heather Gay Details the $200K in Cosmetic Procedures She Says She’s Spent and Why She Has “No Shame” About It

Heather Gay is pulling back the curtain on the real cost behind her glam. In a new interview with Bustle, the 51-year-old Real Housewives of Salt Lake City star revealed she has spent an estimated $200,000 on cosmetic procedures over the years, and she insists “it was worth every penny.”

PHOTOS: Heather Gay Details the $200K in Cosmetic Procedures She Says She’s Spent and Why She Has “No Shame” About It 5

The RHOSLC personality didn’t hold back while listing the treatments she’s had and the beauty routines she relies on to stay camera-ready.

“As soon as I had the money and the time, I thought: ‘I am going to try to profit from every single thing that’s available to me. I can afford it, and it’s part of my job now to look good,’” she told Bustle. “I always said that I’d be so much cuter if I were richer. I’m richer now — and I’m so much cuter because of it.”

Gay has been getting Botox quarterly since her 30s and routinely gets fillers, facials, and laser hair removal twice a year. She’s also had lip filler twice a year for around seven years. One of the treatments she swears by is Sculptra. “Another treatment I get is Sculptra, which is a collagen stimulator, with big long needles on your face. It’s pretty intense, but it’s not an actual filler; it’s just a filler stimulant,” she said. “Sculptra is $800 to $1,000 for a vial, and some people get four to six vials. It can cost around $4,000 per treatment.”

PHOTOS: Heather Gay Details the $200K in Cosmetic Procedures She Says She’s Spent and Why She Has “No Shame” About It 6

Before joining the Real Housewives franchise in 2020, Gay had already undergone two nose jobs. She said a third nearly happened before her surgeon raised concerns about scar tissue. Around the same time, she also got a blepharoplasty. “At that time, I also got a blepharoplasty, which is an eyelid excision for opening up your eyes,” she said. “I got both of these surgeries for free, from the same surgeon, but I think the nose job was around $12,000, and a blepharoplasty was $2,500.”

Heather Gay season one

She explained that her ex-husband, Frank William “Billy” Gay III, paid for her “mommy makeover,” which included a tummy tuck and breast augmentation.

Gay has also relied on weight-loss medication over the past three years, losing 30 pounds. When her weight fluctuates, she temporarily uses GLP-1s again, estimating the medication costs at least $500 a month.

To complete what she calls her “fourth season glow-up,” the RHOSLC star spent around $30,000 on veneers. She said looking “perfect” has become part of the reality television “uniform.”

Heather Gay season one reunion

“I think there should be no shame in people wanting to change the way they look, but I also see that the standard of beauty has become more and more artificial for women,” she told Bustle. “Being on TV, it’s really, really hard to see yourself constantly and to be amongst women who are physically flawless in every way.”

“Everyone has perfect teeth, lashes, and hair,” she added. “It’s what I call the required uniform of a Housewife — and as you become more of a Housewife, it becomes more entrenched.”

Gay has acknowledged that despite all the changes, she didn’t necessarily become more confident. Last December, she told ABC News’ Deborah Roberts, “I look at those pictures of myself and those episodes and think, I love that girl. That girl was braver and stronger and had more confidence being overweight than I did after taking medication.”

She also reflected on how different versions of herself have been perceived. “I never realized how much my weight affected the way people treated me,” she said. “But I have loved all the versions of myself and I feel like body positivity wasn’t a lie for me. It changed my life. It allowed me to be on TV, it gave me this chance.”

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18 comments

ontoiran November 15, 2025 - 7:44 pm
I like the before pix, it’s obvious her face and body have been “altered”. IMO, the 200k $ Heather looks fairly masculine.
AnEnigmaWrappedInSnark November 14, 2025 - 3:06 pm
Shrek Heather's weight loss looks great on her, but not only was it completely unnecessary, but she was was too young for a full on facelift. Now she's literally unrecognizable as her former self (and not necessarily in a good way).
D.D. November 14, 2025 - 1:06 pm
The weight loss was enough; the overdone makeup, flat hair, and huge angular chin make her look off. It looked better before.
Champagne Hangover November 14, 2025 - 11:45 am
Fuzzy Peanut November 14, 2025 - 11:26 am
What a waste of money. She still looks like shit.
RyNy83 November 14, 2025 - 2:36 pm
the edacity
Zap It November 14, 2025 - 12:54 pm
I think she looks good but mostly due to weight loss. Obesity does affect the way people see and treat you. It's not fair but it's the way it is.
Zap It November 14, 2025 - 12:54 pm
I think she looks good but mostly due to weight loss. Obesity does affect the way people see and treat you. It's not fair but it's the way it is.
Champagne Hangover November 14, 2025 - 2:08 pm
I don’t know that it’s ? not fair. In a society where obesity is pretty much the norm and morbid obesity is gaining traction towards that standard, we tend to forget that gluttony is a sin. ? And though it is not politically correct to say so, it is gluttony that is at the heart of the overwhelming vast majority of obesity and virtually without exception, morbid obesity. Our bodies are to be regarded as a temple. I think disdain and repugnance would be the proper response to those who would fill a church to the rooftops with an over abundance of junk and poison, no? That’s not to say there isn’t or shouldn’t be room for some measure compassion and grace, BUT just look at the undeniable damage the so called ‘body positivity’ movement has wrought, positively enabling bodies to an early grave and little else (if anything) of value. IJS. ?
Zap It November 14, 2025 - 4:40 pm
All addictions are gluttony including food addiction.
Champagne Hangover November 15, 2025 - 11:24 am
Yep, mostly true but I would exempt those who genuinely suffer from chronic pain and fall victim (because many genuinely do) to addiction since these heinous pain killing drugs come replete with QUICK tolerance. Otherwise, spot on! That said, true compassion is never enabling, and that’s all this society has done with the obesity problem which few will acknowledge is almost entirely (there are relatively rare exceptions) nothing but gluttony.
Zap It November 15, 2025 - 3:33 pm
IDK. I use think that but given what I've seen in my extended family I've come to believe that addiction runs in families due to genetics and that includes addiction to food. It's a crutch just like nicotine, alcohol and drugs. I really believe this now because I see the struggle to control food addiction. The family member I'm referring to is a great person, hard working, strong work ethic, not lazy in any way and good natured. Anyway, that's what I think given what I've seen play out in my own family. It's changed my outlook because I use to think that it was just a matter of gluttony too. I really did.
Champagne Hangover November 14, 2025 - 2:08 pm
I don’t know that it’s ? not fair. In a society where obesity is pretty much the norm and morbid obesity is gaining traction towards that standard, we tend to forget that gluttony is a sin. ? And though it is not politically correct to say so, it is gluttony that is at the heart of the overwhelming vast majority of obesity and virtually without exception, morbid obesity. Our bodies are to be regarded as a temple. I think disdain and repugnance would be the proper response to those who would fill a church to the rooftops with an over abundance of junk and poison, no? That’s not to say there isn’t or shouldn’t be room for some measure compassion and grace, BUT just look at the undeniable damage the so called ‘body positivity’ movement has wrought, positively enabling bodies to an early grave and little else (if anything) of value. IJS. ?
AnEnigmaWrappedInSnark November 14, 2025 - 3:34 pm
I think many of us judge fat people because we don't respect weakness and laziness, and 95% of the time, that's all it is (no matter what they want you to believe). Wouldn't we all want to live on hamburgers, French fries, and malts? I know I would.
Zap It November 14, 2025 - 4:39 pm
True but I do believe that there can be a strong genetic component too. I've seen it in my own family how an Uncle is obese and then his skinny brother has an obese child while the other children are thin. It must be a genetic impulse control issue to do with addictive tendencies. A predisposition so to speak.
AnEnigmaWrappedInSnark November 17, 2025 - 3:06 pm
Hmm ... I think morbid obesity "can" be attributed to genetics (how a person's body stores fat, regulates appetite, and metabolism), but ultimately, generational behavior (bad eating habits coupled with lack of physical activity) is most often the culprit.
AnEnigmaWrappedInSnark November 17, 2025 - 3:06 pm
Hmm ... I think morbid obesity "can" be attributed to genetics (how a person's body stores fat, regulates appetite, and metabolism), but ultimately, generational behavior (bad eating habits coupled with lack of physical activity) is most often the culprit.
AnEnigmaWrappedInSnark November 14, 2025 - 3:34 pm
I think many of us judge fat people because we don't respect weakness and laziness, and 95% of the time, that's all it is (no matter what they want you to believe). Wouldn't we all want to live on hamburgers, French fries, and malts? I know I would.
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