Courtney Stodden has made a few changes to her appearance since first landing on the scene in 2011, and she let ET tag along for her latest procedure.

"I'm really nervous," she said in the operating room.

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The 21-year-old reality star has admitted to having a breast augmentation, temporary lip fillers and porcelain veneers, but the nose job she let ET in on gave her butterflies. Still, she felt it was worth it.

"I'm not wild about my bump on the side of my nose," she said in the operating room. "In pictures or on red carpets I just feel really self-conscious about this bump."

While the procedure was part cosmetic, it was also a rhinoplasty to correct breathing problems. Stodden's husband, 55-year-old actor Doug Hutchison, was on hand to comfort her.

"I debated and kind of pulled out and got nervous," Stodden told ET. "It took me a really long time to warm up to it."

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The procedure, which costs between $13,000 and $15,000, lasts two hours and has a recovery time of about seven to 10 days. When we followed up with Stodden two weeks later, she was happy with the results.

"I guess when gravity starts taking over, I might get a nip/tuck here and there, but nothing excessive," Stodden said.

Courtney has since been in the studio recording new music slated to come out next month. Also, she will be staring in Lifetime's new reality show "The Mother/Daughter Experiment: Celebrity Edition."