Abstract
Rhinoplastic surgeons not infrequently after a satisfactory operation are confronted by patients who complain of a new deformity. The surgeons are aware that after removal of dressings the nose appeared satisfactory. When the patient returns on subsequent visits a change is sometimes noted in the shape of the nose, which is attributed to the reparative healing process. On occasions undue tissue reactions are seen. By careful questioning it soon appears that the patient failed to mention that postoperative trauma occurred. Rarely does the patient freely admit that the damaged nose was struck accidentally or intentionally. The following are some examples: Case 1. —Two weeks following a satisfactory rhinoplasty, the patient, a physician's daughter, returned accompanied by her father. There was swelling of the bony and upper cartilaginous vaults. She was casually asked if there was any cause for this surprising effect. She admitted that one night the lights were out
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