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Looks like we've got a front-runner for 2008's Most Dramatic Plastic Surgery - Heidi Montag!

The Hills starlet looked damn near unrecognizable when we spotted her out at Goa last night. Seriously - where do you even start?!

Heck, Heidi's new look was so overpowering that we almost didn't notice LC and Audrina were in attendance too!

Other stars on the scene included Seth "Shifty Shellshock" Binzer (currently appearing on VH1's Celebrity Rehab) and David Spade, who paused to give his thoughts on Heath Ledger's passing.