The 51-year-old - who was branded "Miss Piggy" in taunts by Gretchen Rossi's bad boy beau, Slade Smiley, who claimed she looked like the famous muppet - has had a chin implant and fillers injected around her nose and eyes.
But, she shouldn't expect to receive approval from her arch enemies, Gretchen and Tamra Barney, who are caught on camera in a new preview for the upcoming season bitching about Vicki's new look.
"I just want you to look at this picture and tell me what you think," Tamra says to Gretchen. "That's Vicki. Does she not look different, look at the chin? She got a chin implant."
The new season of Real Housewives of Orange County premieres on Bravo on Monday, April 1 at 8/7c.