I don't think she really looks very good now, she is probably the example you could use against cosmetic surgery. I can never understand why people do it. I am sickened by these reality shows like Extreme Makeover where they take a normal looking person and make them into a Barbie doll when all they really needed was a bit of therapy to get over caring what others thought of them in comparison to the Hollywood perception of perfection. Sorry, it is just something I really don't like and it annoys me.
As for Pammy though, before she had anything 'enhanced'

she was naturally beautiful, but now she is an inflated doll.