Madonna's nose job was brilliantly executed with subtlety and artistry. The plastic surgery kept all of her nose's original character in tact while maintaining a natural look. The nose job was done with modesty overall. Basically, the plastic surgeon narrowed the nose from the top of the bridge all the way down to the tip. Here's Madonna before and after plastic surgery (from when she was just a teenager). The biggest and most noticeable difference is the width of the tip.