"Alex's nose has been broken about 20 times because of the fighting. But she doesn't like it that way," News of the World quoted a close friend as saying. "And she's been making him paranoid about his ears. They've been bitten many times and she says they should be pinned back or, ideally, reconstructed. She also wants him to have Botox with her when they're in LA next," the friend added.
The pal continued: "Katie's been saying she wants him to look perfect in the wedding pictures - and that he won't make it as an action movie star in Hollywood without having the work done. There's been so much pressure on Alex that he didn't feel saying no was an option. But his friends are shocked because he's always been against cosmetic surgery - apart from boob jobs on girls, which he loves!"