How can Tamra Barney deny getting a nose job when the before and after photo makes it so obvious that she had one? She clearly had a lot of cartilage removed which made the width and tip of her nose smaller. The biggest difference is in the tip of her nose because it's more petite and the nostrils are more prominent. A plastic surgeon typically tries to make the bottom of the nose more prominent with a nose job. For some reason our society sees that as aesthetically pleasing. So, so you think Tamra Barney looks better before or after her nose job?