audrina back Audrina Patridge felt pressured to have plastic surgeryDuring its April 27 premiere, fans of “The Hills” noticed a change in the show’s opening title sequence. Inspired by Heidi Montag‘s disturbing transformation, the cast’s name cards now show before-and-after photos of the cast members. Now there’s no denying the various ways that fame, money, and in some cases, plain old time have changed not only Montag, but also Audrina Patridge and Kristin Cavallari.

]]>confirmed to Us that Patridge got plastic surgery to boost her confidence after feeling pressured to have the perfect body. “She thinks she has a banging body,” a friend says. Another friend says that she’s confident, and “I don’t think she’ll have more plastic surgery.” Displaying his typical hypocrisy, former cast member Spencer Pratt recently attacked Audrina for her decision to have plastic surgery. “So glad my wife gets her surgery in bev hills and not where Jwow and audrina go. We love american doctors! Audrina – Don’t hate because your nasty Tijuana plastic surgery got you no press… and my wife is #1 story on people – 5 days in a row! Who elected you to gage cool?” Follow Zap2it Dish Rag on Twitter and Facebook and @cadlymack on Twitter for the latest TV, movie and celebrity news. More ‘Hills’ dish:

Lauren Conrad denies Heidi Montag sexual harassment allegations
Lauren Conrad on friends, fame, and her pretty, pretty hair
Heidi Montag: Her breasts may save the day… in 3-D!
Spencer Pratt’s “Hills” hiatus isn’t exactly voluntary Photo Credit: Getty Images