I think she got her first nose job years before she was bought by Tom.
This might have been a second one.
Good plastic surgery had pix of her new nose in 2004:
Good Plastic Surgery: Katie Holmes
One way or the other, it looks botched, she shouldn't have done it.
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Ich hau ab aus meinem Bau
verschließ die Tür, ziehe durchs Revier
markier’ hier und da mal, daß ich da war
höre Gelaber, schleiche gerade über die Promenade
bin Zeuge einer großen Maskerade
-Beginner-