<s>[INST] i had rhinoplasty 3 months ago and recently i ve been experiencing some sharp pain when i smile. at first it was only on one nostril but now the pain has spread to the other one as well. is this normal? is this temporary? when should i be concerned? who should i see for this since my original surgeon is not nearby to consult? [/INST] Hello,Your symptoms could be related to a stretched muscle or a pinched nerve (trigeminal nerve). Coming to this point, I would recommend consulting with your surgeon for a physical exam.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist </s>