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I'm not a doctor or anything, but by the looks of it, it's almost like a bone in the nasal cavity broke and is passing air into the head. The ballooned skin is mainly surrounding the eyes and forehead, so it makes me think of subcutaneous emphysema, which is the infiltration of air underneath the dermal layers of skin. However, the fact that it releases with each breath definitely confirms it is probably something fractured or fucked up with the nasal cavity. You'd think the skin is held against the bone of the skull, however I've seen surgeries and the face is pretty much just a glove on the skull. It makes me wonder if it actually hurts with each breath or just feels weird.

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Or it could be Rocky Dennis!

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and the face is pretty much just a glove on the skull

Having watched numerous cartel videos, I can confirm this is correct. 👍

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