{"id":1053,"date":"2026-02-26T05:56:59","date_gmt":"2026-02-25T21:56:59","guid":{"rendered":"https:\/\/nichebeaty.com\/index.php\/2026\/02\/26\/rhonjs-margaret-josephs-on-rhinoplasty-room-service-and-recovering-in-beverly-hills\/"},"modified":"2026-02-26T05:56:59","modified_gmt":"2026-02-25T21:56:59","slug":"rhonjs-margaret-josephs-on-rhinoplasty-room-service-and-recovering-in-beverly-hills","status":"publish","type":"post","link":"https:\/\/nichebeaty.com\/index.php\/2026\/02\/26\/rhonjs-margaret-josephs-on-rhinoplasty-room-service-and-recovering-in-beverly-hills\/","title":{"rendered":"RHONJ\u2019s Margaret Josephs on Rhinoplasty, Room Service and Recovering in Beverly Hills"},"content":{"rendered":"

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A nose job may not sound like a vacation, but Margaret Josephs turned hers into something close. After noticing subtle facial changes following weight loss (\u201cI was one of the first to go on a GLP-1,\u201d she says), the Real Housewives of New Jersey<\/em> star flew west and checked into the Beverly Hills Hotel, not for an escape, but for a little \u201cwork.\u201d \u201cIf you\u2019re going to recover,\u201d she laughs, \u201cyou recover there.\u201d<\/p>\n

Mirror Moments<\/h2>\n

For Josephs, the idea of a nose job wasn\u2019t something she\u2019d been circling for years\u2014it arrived later. \u201cI never thought I had a big nose,\u201d she says. \u201cI never hated my nose.\u201d What caught her attention were small changes she couldn\u2019t unsee. \u201cAs we get older, the cartilage just isn\u2019t as supportive. I started noticing in all my photos that the tip of my nose was drooping, and I was like, what is going on?\u201d<\/p>\n

Months of taking GLP-1 meds had also slimmed her face. \u201cI don\u2019t know if it was because I lost weight, or whatever it was, but my nose tip was drooping,\u201d she says. \u201cIt was looking crazy.\u201d More than anything, the reality star didn\u2019t want a new look, but just a return to her former self. \u201cI wanted to look refreshed, rejuvenated. I never want to look different.\u201d<\/p>\n

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Image \/ Margaret Josephs<\/sup><\/figcaption><\/figure>\n<\/div>\n

Face Time<\/h2>\n

Josephs consulted several surgeons, but nothing felt quite right. One plastic surgeon told her she had a masculine nose and suggested an aggressive overhaul. \u201cI was like, nonsense,\u201d she says. \u201cThe virtual after photos didn\u2019t look like me at all.\u201d She later consulted Beverly Hills, CA plastic surgeon Gary Motykie, MD. A virtual consultation focused on a more conservative approach. \u201cHe was straightforward with me,\u201d she says. \u201cHe told me I didn\u2019t need much, just a small adjustment.\u201d<\/p>\n

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Image \/ Margaret Josephs<\/sup><\/figcaption><\/figure>\n<\/div>\n

Tiny Tweaks<\/h2>\n

The plan was conservative: a scarless rhinoplasty to refine the tip and smooth a small bump. That bump, Dr. Motykie explained, was contributing to the way her nose shifted when she smiled. \u201cIt really was just a small refinement,\u201d Josephs says.<\/p>\n

Although it wasn\u2019t part of her original plan, Dr. Motykie addressed a deviated septum he noticed during surgery. And because GLP-1\u2013related weight loss had left her face looking hollow, he also used her own fat to gently restore volume, redistributing small amounts across the face. \u201cThat\u2019s why, in the early photos, I looked very bruised and very crazy,\u201d she says.<\/p>\n

Despite the bruising, she was surprised by how little swelling there was in her nose. \u201cThat was actually the least swollen,\u201d Josephs says. \u201cIt was my face adjusting around it.\u201d <\/p>\n

Room Service<\/h2>\n

\u201cI was like, I\u2019m going to hole up at he Beverly Hills Hotel like a vintage socialite,\u201d Josephs says of her recovery plan. Once she checked in, she fully leaned into it. \u201cThere was that Town & Country<\/em> article, \u2018The Hermit in the Penthouse,\u2019<\/em> and I thought, that\u2019s me,\u201d she says. \u201cI would head downstairs in big sunglasses and scare the small children.\u201d<\/p>\n

Recovery quickly became part of her routine. \u201cI think people heal better when they\u2019re not at home,\u201d Josephs says. \u201cThere\u2019s nothing better than recovering at the Beverly Hills Hotel. Everyone treated me beautifully.\u201d During the week after surgery, she returned to her surgeon\u2019s office for red light therapy and laser treatments to help fade bruising.<\/p>\n

Quiet Results<\/h2>\n

When the bandages came off, the change felt subtle, not dramatic. \u201cIt\u2019s like using FaceApp to make the tiniest tweak,\u201d Josephs says. \u201cIt was so slight that my kids didn\u2019t even know I did it.\u201d<\/p>\n

By BravoCon in November, fans noticed something but couldn\u2019t quite put their finger on it. \u201cEveryone kept saying, \u2018Your skin looks great. Your face looks great. What\u2019s different?\u2019\u201d<\/p>\n

The small refinement was the final touch. \u201cYour features can change, but a little tweak can bring you back to yourself,\u201d she says. \u201cI call it a nasal rejuvenation.\u201d Her advice? Invest in recovery (she likes the Beverly Hills Hotel) or a quality aftercare facility.<\/p>\n<\/p><\/div>\n