Doesn't sound shallow, sadly. It sounds like someone terrified of ageing and looking for clinical solutions, unless there is genuinely something really unattractive about her nose.
I've had to have a shitload of plastic surgery recently, due to cancer (new boob built from my stomach, then when the rest of the actual cancer treatment is over, they will create a new nipple on the fake boob via origami with skin, tidy up the "puppy ears" either end of the stomach incision that always happens after the scars heal, and do lipo on my hips and arse so I don't have a totally flat stomach with the usual mid-40s saddlebags and fat, as they're right and that does look weird... and then they'll lift the non-cancerous boob, so they match and look like a 20 year olds, without the super scaffolded bra I need to use at the moment. Honestly, with clothes on (even a bikini, as the scars would be hidden) I'll look much better. Flat stomach, abs showing again, slimmer hips and waist, lifted boobs. But the surgery and recovery is horrible, the reality that the cancer could kill me and leave my kids to grow up without me unspeakable, and I am only guaranteed amazing results because I'm in one of the top hospitals in the country, and the surgeons they have for NHS plastic surgery for cancer patients are world leading. This is their emotionally satisfying work, one told me - they do Harley Street to pay the bills, but helping women like me is what gives them pleasure. Unless she's stinking rich, she won't have one of these surgeons. They'll be outside her price range. She will end up with someone who isn't good enough to work in one of those hospitals, or doesn't have the patient care element as a top priority, or both.
And we will still age. I will still end up with the rest of my body aged, and my skin aged, and over time, even the new boobs will drop and the stomach and hips regain some fat. Because age happens, and that's a good thing.
If I don't beat this and die within the next five years, my corpse will be far more beautiful than it would have been if I die at 90 - and actually, better clothed than it would have been a year ago. But age in and of itself is not important. It just isn't. And her fear of it needs to be looked at and thought about, because it is only going to be more dramatic, what happens to her body and face over the next 50 years, and she has to find a way to place her values on other things about herself or she is headed for a world of pain.
Her problem isn't her nose. It's her mind.