The patient is a 30 year old Indian male, with no significant medical history, presented after a spanner struck his left chin. Despite the impact, there were no direct injuries to his eyes, nose, or overlying skin wounds correlating with the emphysema. Examination revealed bilateral periorbital swelling with intact extraocular movements and no diplopia. A 3cm left chin laceration and a superficial left neck abrasion were noted but deemed unrelated to the emphysema. Nasoendoscopy showed thick yellowish mucopus from the bilateral middle meati. CT imaging confirmed extensive subcutaneous emphysema extending into the orbits, without fractures, lamina papyracea defects, or any depressed skull vault. The patient was treated with intranasal steroids, nasal douche, decongestants, mucolytics, and oral Augmentin for sinusitis, with complete resolution of symptoms. Facial subcutaneous emphysema commonly arises from iatrogenic injuries, trauma, or barotrauma. Rare cases linked to nose blowing involve orbital fractures. This patient lacked such risk factors or fractures, suggesting an unusual etiology unrelated to his sinusitis.