Agreed that her family was no great shakes, and she could use some help on the inside as well. She's been very attractive all the way along!
I think because a "botched" nose job is often too small/not functional, he's more often making them bigger, like he said to her, "If it comes out wider, but works better, is that OK with you?" Which is interesting, because I agree with you, the results often look unimpressive when Nassif is done with them.