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What Could Be Causing Deterioration of the Cartilage in my Nose? (photo)

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I am 30 years old and recently had my 2nd and 3rd child (twins). I have sjogrens (autoimmune disorder).

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Dr. William Portuese, MD
Board Certified Facial Plastic Surgeon
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Dr. George Commons, MD (retired)
Board Certified Plastic Surgeon
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