RHOC’s Emily Simpson explains her plastic surgery decision

Emily Simpson still manages to wrangle a family of nine while looking like a dozen.

After recently opting for a lower face/neck lift, the Real Housewives of Orange County star decided to share the reasons for his decision.

“Being middle aged, gaining 30 pounds then losing it, menopause,” Emily wrote on Instagram on Feb. 2 with a before and after snapshot. “WHO knows what the exact culprit is, but a few years ago I was watching myself on TV and to my surprise I realized I had completely lost my jaw.”

Giving props to his surgeon, Dr. Siamak AghaEmily went on to call their work “next level”.

“He also performed my breast implant removal, breast lift and fat transfer for my chest, followed by another operation recently which I will talk more about soon!” the 47-year-old continued. “Also, just a reminder that all women are allowed to choose what they do with their bodies and how they would like to age. From completely natural to surgery…it’s up to every woman.”