RHONJ’s Margaret Josephs on Rhinoplasty, Room Service and Recovering in Beverly Hills

RHONJ’s Margaret Josephs on Rhinoplasty, Room Service and Recovering in Beverly Hills “If you’re going to recover,” she laughs, “you recover there.” Tatiana Bido Published: Feb 25, 2026 This article first appeared in the Winter 2026 issue of NewBeauty. Click here to subscribe A nose job may not sound like a vacation, but Margaret Josephs turned hers into something close. After noticing subtle f acial changes following weight loss (“I was one of the first to go on a GLP-1,” she says), the Real Housewives of New Jersey star flew west and checked into the Beverly Hills Hotel, not for an escape, but for a little “work.” “If you’re going to recover,” she laughs, “you recover there.” Mirror Moments For Josephs, the idea of a nose job wasn’t something she’d been circling for years—it arrived later. “I never thought I had a big nose,” she says. “I never hated my nose.” What caught her attention were small changes she couldn’t unsee. “As we get older, the cartilage just isn’t 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?” Months of taking GLP-1 meds had also slimmed her face. “I don’t know if it was because I lost weight, or whatever it was, but my nose tip was drooping,” she says. “It was looking crazy.” More than anything, the reality star didn’t want a new look, but just a return to her former self. “I wanted to look refreshed, rejuvenated. I never want to look different.” Face Time Josephs consulted several surgeons, but nothing felt quite right. One plastic surgeon told her she had a masculine nose and suggested an aggressive overhaul. “I was like, nonsense,” she says. “The virtual after photos didn’t look like me at all.” She later consulted Beverly Hills, CA plastic surgeon Gary Motykie, MD. A virtual consultation focused on a more conservative approach. “He was straightforward with me,” she says. “He told me I didn’t need much, just a small adjustment.” Tiny Tweaks The plan was conservative:...