The restricted range of motion has disruptive effects on activities such as driving, which is an enormous handicap, living in the USA where she is forced to live since she cannot function independently. As a result of the above, she has developed a severe depressive disorder, which has further disrupted her life, and together with her pain and physical dysfunction has proven to be an insurmountable impediment to work and socializing. Her condition has extended over several years and is solely caused by the effects of the cosmetic facial surgery. (…)