Has Nicole Ritchie been shopping for a nose job? I've read on the Truth in Cosmetic Surgery Blog that this may be true. Here is a link to the story.
Body dysmorphic disorder (or BDD) is a psychiatric disease where the person afflicted sees something different in the mirror than what everyone else sees. It is often clustered around the nose, and this is what often makes rhinoplasty (nose job) patients very difficult to work with. A rhinoplasty patient with BDD will look in the mirror and see a horrible-looking hook nose where everyone else sees a nice-looking nose with a slightly large tip. This often causes people to undergo several surgeries by several surgeons in an attempt to "fix" what another surgeon did or to continue to whittle away at a formerly good-looking nose. I have seen some patients who've had their noses operated on 10 (yes, ten!) times and were still looking to get it done again. Scar tissue builds up with each surgery, and the nose looks worse and worse. This is what I believe has happened to Michael Jackson.