Real Housewives of Miami plastic surgery transformation: see how the ladies have changed since its 2

THE REAL Housewives of Miami are back – and better than ever.

Finally, the premiere of season four has arrived after the show was canceled back in 2013.

And yes, most of the ladies are back – and they are bringing a few new friends.

Let's look back at how the retuning ladies – Alexia Echevarria, Lisa Hochstein, Larsa Pippen, Adriana De Moura, and Marysol Patton – have changed through the years since they first appeared on the show.

ALEXIA ECHEVARRIA

The 54-year-old Cuban beauty has been very open about her plastic surgery journey.

Twenty years ago, she claims an ex talked her into getting a breast augmentation.

He also got her to agree to a nose job that would thin it out.

She's also gotten lip fillers to make her pout plumper.

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LISA HOCHSTEIN

Lisa, who is 39 years old, began getting plastic surgery at the age of 18.

She went from an A-cup to a C-cup back then. But 10 years later, she wanted bigger.

She proceeded to get a second boob job to correct an uneven breast look and go from a C-cup to a D-cup.

LARSA PIPPEN

Unlike her fellow housewives, Larsa has not admitted to getting any plastic surgery or procedures.

However, fans suspect she's at least had fillers on her lips to create a more symmetrical look.

They also suspect the 47-year-old got a tiny nose job because her features look more refined.

ADRIANA DE MOURA

Like the majority of the housewives, Adriana also got a breast augmentation after giving birth to her son, Alexandre, almost 20 years ago.

The 56-year-old told Bravo of her decision to get the surgery: "It was like a bone and a hanging nipple."

MARYSOL PATTON

Many remember Elsa Patton on RHOM as one of the women with the most surgery, but her daughter Marysol comes close to second place.

When she wasn't even 20-years-old, Marysol got a breast reduction because smaller boobs were in style back then.

Sadly, that surgery caused her massive scars and her breasts continued to grow.

For her second surgery, she felt like her breasts were too small and decided to get breast implants.

During another procedure, one of those implants moved to her shoulder.

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And during another, one of her implants popped.

In total, Marysol has had six procedures done.

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