EXCLUSIVE: Kim Zolciak-Biermann Owns Up to All Her Plastic Surgery, Reflects on Life After Her Stroke

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Kim Zolciak-Biermann is setting the record straight when it comes to what’s real and what’s fake.

The reality star tells ET she’s hasn’t taken a week off in years, implying she simply has not had time to get all the plastic surgery that people accuse her of having done.

“OK, we'll go from the top,” Kim starts. “We all know that I wear a wig, although I have amazing hair. But it's a lot easier to just have the wig curled over here and then put on my head. I hate doing my makeup, like sitting there for an hour and then another hour for my hair? No! I'm not doing it. So, yes, this is not real.”

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“I've done my lips,” she adds. “I've been getting Botox since I was young, for migraines initially and now it's the obvious reason. I've had my boobs done. I fixed my hernia and had a tummy tuck at the same time, you know, it's one in the same.”

“Oh, Ulthera!” she continues. “I just did [skin-tightening treatment] Ulthera … but it's not instant. I do like instant gratification.”

Real Housewives of Atlanta
fans will forever remember the season three episode where Kim invited her co-stars over as she sat under a fat-melting laser while snacking on pizza, chicken fingers and soda.

“That's definitely, I'm still that person,” Kim shares with a laugh. “I just feel like you should try [everything]. Something will work for you, won't work for me. But that's it. I have not done anything else.”

The 38-year-old is adamant she has never had a nose job, but does understand why people think she’s had one.

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“I get it,” she says. “I get the nose, because my mom's side [of the family] has really cute noses.”

Kim confesses she thought posting a side-by-side-by-side look-alike photos of her nose, her now 19-year-old daughter Brielle’s nose and her nearly 3-year-old daughter Kaia’s nose on Instagram would silence the haters, but it only worked for a short period of time. 

“Makeup, the contouring and what have you, definitely [helps],” she offers. “Why would I not talk about a nose job? Actually, let me show you -- my septum is completely out. So, if I had a nose job, I definitely wouldn't have a septum that's hanging out over here. But, I will fix that at some point if I have a breathing problem.”

The Don’t Be Tardy star says even if she wanted to have more work done right now, she couldn’t. Kim admits she would change the size of her legs if she could, calling them “thick.”

“This is the other thing, you idiots!” Kim exclaims. “You think I'm gonna have a stroke and then go do something? Go have plastic surgery?! That's really smart. You can't. I'm on blood thinners for at least another year.”

Kim suffered a minor stroke in September 2015, while competing on Dancing With the Stars. She’s since undergone surgery to repair a hole in her heart.

WATCH: Kim Zolciak-Biermann Defends Lip Fillers: ‘Why Not? Shoot ‘Em Up!’

“The device in my heart has changed my life,” Kim says. “I can, like, run now forever, whereas my whole life I always knew I couldn't do what you could do. I just didn't know why. Now it's like, I feel great. I do. I feel great.”

Today, the Kashmere skincare founder says she runs four or five times a week with her husband, Kroy, and tries to stay as active as possible.

“I'm always on the go, and I think the key to staying slim or what have you is moderation,” she shares. “I eat chocolate every day. I drink a glass of wine every day, on average … I know that eating a candy bar is not going to make me fat. In my mind, my mom always said, like, if you think it's gonna make you fat, it will! It's a mind frame and it's a mentality and it's a lifestyle.”

MORE: Kim Zolciak-Biermann Reflects on One-Year Anniversary of Mini-Stroke

Kim keeps positive in all aspects of her life following the health scare.

“It definitely changes your perspective on just about everything in life,” she adds. “I have a lot more fear of, is it gonna happen again? … I'm doing better, though. I'm getting better with it.”

Don’t Be Tardy
airs Wednesday nights at 10 p.m. ET on Bravo. Another Bravo star, Real Housewives of New Jersey’s Melissa Gorga, recently owned up to her own plastic surgery. Hear her story in the video below.