And by this question what im really asking is what work did she exactly get done, because sister looks shit all like this woman.

I’d like to imagine that steph took a kick in the face from  St Heidi Montag Princess of Ponyland when she was nibbling on air (and dust). Her face was so fucked up she was RUSHED to the hospital where corrective surgery was done where her nose was slimmed and her lips were filled before the doctors realized that the only damage from St Heidi’s pony-punch was to her ear. Oh wells!