The Middle star Patricia Heaton's reason for having plastic surgery? "Vanity. I mean it," she told People magazine. "I had four C-sections and my stomach looked like a map of the world, My breasts were hanging down to here from breastfeeding, and my nipples were like platters. I wanted to fit in the gowns that I finally got to wear," said the 54-year-old mother of four. And unlike some Hollywood hotties, Heaton is open about the work she's had done. "It's better to be honest if you can. There is a lot in Hollywood that's not as it seems. "It's not really fair, the image we present to the world. Women shouldn't look at the people they see on TV and compare themselves, because you aren't seeing those women the way they really are."