RhinoplastyUnited States5 min read
Did Margaret Josephs have a nose job? Yes — and she documented every stage
Margaret Josephs, the Real Housewives of New Jersey star, documented her rhinoplasty the way she does everything — fully, bruises included. From her droopy tip to the final results, she shared every stage with her fans. Here is what she said and what the procedure involves.
By messaging us, you agree to our Privacy Policy
Key facts about the procedure
- Operation time1.5–3 hours
- Stay in clinic1 day
- AnaesthesiaGeneral
- Price
$6,000from $4,200
Profile
Margaret Josephs
- Country
- United States
- Who
- TV personality, The Real Housewives of New Jersey
- Year of operation
- 2026
- Quote source
- Page Six, 5 March 2026
What did Margaret Josephs say about her nose job?
Margaret Josephs decided on a rhinoplasty for a reason she could see in every photo: “As I got older, my tip started to droop as I smiled and I was really unhappy about it,” she wrote, as Page Six reported on 5 March 2026. “Every photo of me I really noticed it and it bothered me.” Her caption for the reveal summed up the procedure her own way: “No one wants a droopy tip,” adding, “Some might call it a rhinoplasty, I call it a 'nasal rejuvenation.'”
Rhinoplasty Leeds, Rhinoplasty Dublin — price and consultation.
Price in your country — message us on WhatsApp
WhatsAppShe did not skip the ugly part: her day-one selfie showed the bruising, and she joked that she had “some balls to walk around Beverly Hills” and was “scaring children at the pool” mid-recovery. The result, she wrote, was worth it: “my nose fits my face so perfectly.” And her closing message was her trademark: “I am a huge advocate for doing what makes YOU happy and feel your best.”
That is what this article relies on: her quoted words in the report. Everything below describes rhinoplasty in general, not her treatment.
Why her story matters
Margaret Josephs's case highlights a rhinoplasty reason that gets less airtime: the ageing tip. As skin loses elasticity, the tip can start to droop — especially when smiling — and a rhinoplasty can lift and support it. That is a different goal than reshaping a bump, and it is worth naming at the consultation so the surgeon plans the tip support, not just the bridge.
More on this topic: Rhinoplasty in one day, Open Rhinoplasty, Closed Rhinoplasty, Rhinoplasty for Patients from Singapore, Rhinoplasty in Brisbane.
Her documentation style is the second lesson. From the day-one bruise to the final result, she showed the whole arc — which is the honest version of recovery. Patients who see the mid-recovery swelling first are far less likely to panic in their own second week, and her line about doing “what makes YOU happy” is the healthiest motivation framework a prospective patient can copy.
How rhinoplasty is done today
Rhinoplasty reshapes the nose: the bridge, the tip, the nostrils and, in septorhinoplasty, the deviated septum inside that blocks breathing. The operation is done under general anaesthesia or TIVA, with open technique (a small incision on the columella) or closed technique (incisions inside the nostrils), and ultrasonic piezo instruments for precise bone work. A droopy tip — Margaret Josephs's reason — is corrected by supporting and rotating the tip cartilage.
Closed rhinoplasty
- What it does
- Reshaping through incisions inside the nostrils
- Typically for
- Moderate reshaping, no external scar
Open rhinoplasty
- What it does
- Full view through a small incision on the columella
- Typically for
- Complex tip and bridge work, including tip support
Septorhinoplasty
- What it does
- Reshaping plus straightening the septum
- Typically for
- Deviated septum, breathing problems
Revision rhinoplasty
- What it does
- Correcting or improving a previous operation
- Typically for
- Complications, asymmetry, unsatisfactory result
Which option fits is decided at the consultation after examination, not from a celebrity story.
Who is a candidate and how to prepare
Candidates are adults, typically aged 18–45 with marked concerns, in stable health; older patients are assessed individually — her case shows the ageing tip is a legitimate concern at any age when health allows. Contraindications include acute infection, uncontrolled chronic disease and anything that rules out safe general anaesthesia.
- Start preparing 21 days ahead: blood tests, biochemistry, coagulation, infection screening, ECG and chest/sinus imaging.
- Stop blood-thinning medicines, alcohol and smoking a week before; no food or drink for six hours before surgery.
- Buy class 2 compression stockings and plan the first week as complete rest.
What recovery looks like
The first 24 hours are spent in the inpatient unit. For the first days, breathing goes through the mouth and splints sit in the nostrils; swelling and bruising around the eyes are normal. Nasal splints come out around day 7, the external splint stays up to 14 days, and stitches are removed on day 14. For a month there is no exercise, sauna, pool, hot baths or sun.
Congestion can linger for a month or two, the first improvements appear after two to three weeks, healing completes over about four months, and the final shape of the nose settles over one to one and a half years.
How recovery after rhinoplasty usually goes
- Day of surgeryGeneral anaesthesia or TIVA; the first 24 hours in the inpatient unit under monitoring.
- Days 1–3Mouth breathing with splints in the nostrils; swelling and bruising around the eyes are normal.
- Day 7Nasal splints come out; the external splint stays up to 14 days.
- Day 14Stitches removed; swelling visibly declining.
- Weeks 2–4No exercise, sauna, pool, hot baths or sun for a month after surgery.
- Months 1–18Congestion eases, healing completes by about four months, final shape settles over 1–1.5 years.
Rhinoplasty at City Medical Centre
City Medical Centre performs primary, revision and reconstructive rhinoplasty for international patients, including patients from New York. Primary rhinoplasty costs $4,200 (currently reduced from $6,000), revision rhinoplasty $5,400, rhinoseptoplasty $5,000, reconstructive rhinoseptoplasty $4,700 and rib-cartilage reconstruction from $5,400. The first consultation is free; the final cost is confirmed after an in-person examination.
The price includes anaesthesia, the inpatient stay and a lifetime guarantee on the result with a free post-operative check-up. More details are on the rhinoplasty page and the page for patients from New York.
To be clear: City Medical Centre has no connection with Margaret Josephs or her treatment. Her story is quoted here only because she chose to document her operation openly.
Frequently asked questions
Did Margaret Josephs have a nose job?
Yes. She documented the whole journey — from bandages and bruising to final results — and Page Six covered her reveal on 5 March 2026. She called it a "nasal rejuvenation".
Why did Margaret Josephs have a rhinoplasty?
She wrote that as she got older, her nasal tip started to droop when she smiled and it bothered her in every photo — so she had it corrected.
What is a droopy tip correction?
With age, the nasal tip can lose support and start to point downward, especially when smiling. Rhinoplasty lifts and supports the tip cartilage so the nose keeps its position in motion.
How visible is rhinoplasty recovery?
In the first days, noticeably: bruising and swelling, as Margaret Josephs showed in her day-one selfie. Splints come out around day 7, and most people look presentable within two to three weeks.
How much does rhinoplasty cost at City Medical Centre?
Primary rhinoplasty is $4,200 (reduced from $6,000), revision $5,400, rhinoseptoplasty $5,000, reconstructive rhinoseptoplasty $4,700 and rib-cartilage reconstruction from $5,400. The final price is confirmed after the free consultation.
Sources
What the article says about the celebrity is based only on these public statements.
- Page Six, 5 March 2026
Medical background and further reading
General information about the procedure from health authorities and medical societies. It is not advice for any individual patient.
- PubMed / NCBI — Reporting Outcomes and Outcome Measures in Open Rhinoplasty: A Systematic Review (Aesthet Surg J, 2020)
- PubMed / NCBI — Systematic Review and Meta-analysis of Functional Rhinoplasty Outcomes with the NOSE Score (2017)
- American Society of Plastic Surgeons — Rhinoplasty
- World Health Organization — Safe surgery
How we prepare and review medical content · Medical disclaimer
Considering the same operation? Get a free consultation
Message a coordinator on Telegram: we reply right in the chat, and you can send photos and questions there too.
- The first consultation is free, online consultations are available
- The doctor names the cost after the assessment, and it is fixed in the contract
- A personal coordinator guides you from the first message to recovery
Message our coordinator
We reply right in the chat — you can send photos
Message us on TelegramMessage us on WhatsAppBy messaging us, you agree to our Privacy Policy
In other cities
Read also
RhinoplastyAshley Tisdale's rhinoplasty: a breathing problem, a decision and the reaction
Ashley Tisdale had rhinoplasty in 2007 to fix a deviated septum and later wrote about the shaming that followed. Her words, the operation and recovery.
RhinoplastyBhad Bhabie and her rhinoplasty: what she posted, day by day
In January 2025 Bhad Bhabie (Danielle Bregoli) shared her rhinoplasty recovery on Instagram. What she wrote, why she had it, and how a nose job works.
RhinoplastyDid Cameron Diaz have a nose operation? Yes — and she called it purely medical
The actress told GQ her septum was “like a train derailed” and had a nose operation so she could breathe. Her quotes, and how septorhinoplasty works today.
RhinoplastyRhinoplasty Abroad: What to Know, Recovery Week by Week and When You Can Fly Home
Planning rhinoplasty abroad? Preparation, recovery day by day and week by week, when splints and stitches come out, and how long to wait before flying home.