Kim Kardashian definitely had a nose job around 2006. Her rhinoplasty is the most famous plastic surgery she's had. The result of Kim's nose job is very good considering she had a humped nose with a downward sloped tip before surgery. The plastic surgery pulled the nasal tip up and smoothed out the bridge resulting in an aesthetic and very natural looking nose. In this before and after picture you can see that Kim' nose looks more jagged and longer before plastic surgery. After surgery her nose appears smooth and symmetrical.