Plastic surgery and botox are money makers. Even when a nose-job is well done, I can usually detect it-- because even if the nose is gorgeous, it's not necessarily the nose designed for the face.
Years ago, as a teenager, I was having lunch with my stepmother and I blurted out "did you have a nose-job? " And she did, when she was a teenager, so that meant she had it done in the 1940s.
I was mortified to find out, in the same conversation, that she and her first husband had asked her daughter (my stepsister) if she'd wanted one when she was a teenager, too.
Can you imagine, having your parents approach you and ask if you want a cosmetic procedure to improve your looks?
Well, it's no surprise both of my stepmothers children live 3,000 miles away from her now....