She hasn't had a nose job she just uses contorting make to make her nose look diffident without make-up she looks the same as its always been, and butt implants would make her butt hard(and it isn't), the only other was is ass shots and there illegal and extremely dangerous so I don't know..
The only plastic surgery I believe she's had is butt implants and I'm still a bit sceptical about weather them mummers are true or not, if they are it makes no differenced because its still her just with a bigger ass