Vanessa Ferlito got the type of nose job that you never want to get. The plastic surgery left her with the dreaded "pinched nose" look that just screams out "I got a nose job!" Any well qualified plastic surgeon will never give you that look, so it's odd when well off celebrities have this happen to them. Most likely she just went with the wrong surgeon. In addition to the nose job, she had lip injections. Just look at how bloated her lips look in the before and after picture.
There's just not a natural looking transition from the bridge to the tip of her nose. Also, rebuilding cartilage in the tip of a nose is one the hardest things for a surgeon to do. That's why "good surgeons" typically don't actually remove any cartilage from the tip, rather they re-shape the cartilage already there.
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