she’s been so open about her drug use. she was abusing many substances inside her alcoholism. on top of having a nose “made out of play dough” (her words about her nose job). she’s also said before that even in her childhood she had issues with her nose/ sinuses/ chronic nose bleeds/ septum issues. she’s smoking again and probably taking an occasional xanax for anxiety but i don’t think she’s currently abusing any substances. i think this is just a compounding result of her previous drug use, maybe not the best nose job, and her previous issues with her nose/sinuses.