Just because Kim Zolciak is a 'Real Housewife' it should be assumed that she's had extensive plastic surgery. Well, if you had that assumption, then you were right to do so. The most notable operation she had was a nose job. This before and after picture shows that her plastic surgeon built up the cartilage on the bridge of her nose. It used to have a bit of a dip in it, but now it's smooth from top to bottom. Kim Zolciak has also had breast implants and some subtle Botox injections.