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It's been five years since Heidi Montag went under the knife for a full-body transformation -- so, how's it all look these days?

The former star of "The Hills" and her hubby Spencer Pratt were photographed in Hawaii this week, where they both showed us how they've changed since their time on the MTV reality show.

Back in 2009, Heidi famously got 10 plastic surgery procedures in one sitting, including a boob job, nose job, brow lift, chin reduction and neck lipo. She even had her ears pinned back. She later got a breast reduction in 2013, going from an F to a D.

After allllll that work, Heidi's physique is looking pretty good these days -- though her face is still a far cry from what it used to look like.

As for Pratt, he's looking more fit than he has been in the past few years. We're also VERY glad to see he got rid of that scraggly beard he was rocking for a while.

It looks like the two are celebrating Spencer's birthday, as the reality star turned 31 last Thursday. 

"Happy Birthday @spencerpratt the love of my life!!! You are the biggest miracle to me! Every year gets better, so excited for the next," Heidi tweeted out last week.

Surprised to see they're still together? Check out the gallery above to see more "Hills" transformations -- and click through below for more celeb beach bods!

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