Other than the tip, I don't see much of a change. This is an excellent nose job, especially for a celebrity in the public eye. Most people would never be able to even spot that Kellen Lutz's nose job. Other than that I don't see any other surgical changes. He is more manicured and metro (eye brows plucked and darkened, dyed hair, well manicured "forgot to shave" scruff that's anything but). Besides that I can't spot any other plastic surgery.