She has had a chin implant, and maybe some jaw work but trump's daughters have alway had weak mandibles, she might have had a breast reduction but its more likely she just stopped wearing push up bras during her last pregnancy and never went back. The nose looks different but its because the nose keeps growing your whole life and now she has a paralyzed forehead from botox and taught face skin from the chin implant it makes her nostrils move while frenum doesn't and gives her kike nose, if I smile like a deranged asshole using all my face and neck muscles my nose will do a similar thing. Not replaced just the wall taking it's toll.