"<div class=""meta ""><span class=""caption-text "">Patricia Heaton has confirmed that she has had a breast reduction and a tummy tuck. Pictured:  At left, Patricia Heaton appears at the event of 'The Bituminous Coal Queens of Pennsylvania' (2005). At right, she appears in a still from 'The Middle.'It is unclear whether Patricia Heaton underwent cosmetic procedures prior to appearing in a photo of 'The Bituminous Coal Queens of Pennsylvania.' (Wire Image / Christopher Polk)</span></div>"
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