Leakes tells People she had a nose job, liposuction, and a breast reduction and lift.
"I'm very comfortable and confident in myself," Leakes, 42, told the magazine. "I just wanted a tune up."
Leakes, who calls herself "vain," had her DD-cup breasts sized down to a D, and weighs 15 pounds less, going from a size 10 to a size 8.
"I still wanted to look like NeNe, the black woman that I am, but a better version," she said. "I love what I did."
Leakes' plastic surgery will be shown on Monday's new episode of The Real Housewives of Atlanta.