Hello Interloper!
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He is anxious having broken his nose three years earlier and has been having difficulty breathing through his nose.
He wants to straighten the bump and improve the bulbous tip.
We discuss the operative plan and I answer his concerns.
Once he is asleep, I inject a local anaesthetic into his nose and have a good look inside - his septum is severely distorted following his injury, so need to clear this to ensure he will breathe freely.