This case involves a 54-year-old male actor with sleep apnea who had a dermal filler injected into his nasolabial fold. Several months after the procedure, the patient believed he was having an adverse reaction to the dermal filler and visited a plastic surgeon to inquire about removing it. The plastic surgeon informed the patient that the dermal filler could be removed. The surgeon also suggested that the patient’s sleep apnea would be improved with an additional procedure on his nose. The patient underwent a removal of the dermal filler and elected to take the surgeon’s advice and undergo the procedure on his nose. At no point was the patient informed by his surgeon that the procedure would cosmetically alter his nose. After the nasal procedure, the patient discovered that a large part of the dorsum of his nose had been removed and the tip and shape of the nose looked markedly different. In the months following the procedure, the patient’s sleep apnea worsened and he suffered from chronic thick drainage which made swallowing difficult.