According to the search results, there is no definitive evidence supporting claims of Rick Ness undergoing a nose job or any cosmetic surgery. Rick Nesss altered facial appearance in season 14 of "Gold Rush" prompted speculation of possible plastic surgery or illness, yet no official confirmation exists. Alternatively, his face might reflect the enduring impact of a severe mining accident during season 10, resulting in a broken jaw, missing teeth, and subsequent surgeries, leading to potential scarring and asymmetry over time. Some fans speculate that his nose looks thinner and sharper than before, and it may have collapsed from drug use. However, there is no concrete evidence to support these claims. In summary, there is no clear answer to what happened to Rick Nesss nose, and his facial changes could be attributed to natural factors or previous injuries.