This paper reports a case of extensive nasal injury managed nicely with good cosmetic results. The nose is easily exposed to trauma because it is the most prominent and anterior feature of the face. Its central position and anterior projection on the face predisposes the nose to traumatic injury Nasal injuries are commonly assessed in the accident and emergency (A&E) departments. An injured nose can bleed from lacerations (cuts) of the skin or inside the nose. These cuts may need to be repaired and evaluated immediately. Excessive activity may restart bleeding. Blood can also be collected inside the nasal septum tissue spaces (hematoma). A septal hematoma can cause trouble by injuring or thickening the septal structures. Injured septal structures may result in the loss of structural support of the nose. Septal thickening may obstruct the nose. One should look into the nose to determine if there is a hematoma. Confirming that no septal haematoma is present is crucial to avoid further compressive damage to native tissue and dangerous infectious complications. Long term follow-up allows the surgeon to assess for both early and late sequelae of injuries to the nose.