Notice anything different?

Real Housewives of Orange County star Alexis Bellino has changed her appearance, and has confirmed that she went under the knife to achieve her new look --  undergoing rhinoplasty.

“Most people don’t even know I had a nose job,” the 34-year-old blonde housewife said.  ”They notice something [new] about me. It’s perked up my face,” she told The Orange County Register.

Not everything is 'real' on a Real Housewife. As RadarOnline.com has discovered, some Housewives get their killer looks with some help from their friendly neighborhood plastic surgeon.

EXCLUSIVE PHOTOS: OC Housewife Alexis Bellino - Before She Was Famous

With 20-years of experience, Dr. Michael Niccole has been to the go-to man for some of TV's hottest reality stars, but not everything is a usual procedure for his celebrity clients.