It may seem odd to many that the teenage Courtney Stodden married a 51 year old and had extensive plastic surgery (nose job). But, it was her decision and she's sticking by it. You can see from the before and after photo that she dramatically had the shape and contour of her nose changed. The bridge is much smoother and the tip is less bulbous now. Overall, it's an aesthetic and natural looking result. Here's Courtney Stodden before and after cosmetic surgery.