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It appears that she did have a rhinoplasty. Contrary to popular belief, many silver screen era stars had surgery. Marilyn Monroe, Jayne Mansfield, Raquel Welch and even Elizabeth Taylor have been rumored to have had nose jobs and dental work (Marilyn).
Before:
http://upload.wikimedia.org/wikipedia/commons/6/6d/Lena_Horne.jpg
After:
http://files.myopera.com/whistlestopursus/blog/Lena_Horne.jpg
http://55secretstreet.typepad.com/photos/virtu/lenahornemgmpublicityphoto1940sbettmanco.jpg
http://1.bp.blogspot.com/_per2iNzRKk4/RpNqhNj_hFI/AAAAAAAAACc/sVnGMUN-yGI/s320/GABP.jpg
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