Comedian Artie Lange, best known for his Howard Stern Show and Mad TV appearances, is once again in the spotlight — this time for what appears to be a reconstructed nose.

The 58-year-old — who has been open about his struggles with alcohol, cocaine and other substances — appeared in a photo recently shared on X, in what the U.S. Sun reports is his first public sighting in five years.

In the photo, Lange is pictured alongside fellow comedians Jeff Ross, Dave Juskow, Rachel Feinstein and Amanda Gail, as well as his sister, Stacey Lange. The depressed nose the comedian has spoken publicly about in the past appears to be fixed in the pic.

“People ask me stupid questions like, ‘What happened to your nose?’ I’m like, ‘Too much yoga. I stopped to smell the roses in life, and they had cocaine on them,’” Lange joked in a video shared in September to the Legion of Skanks Podcast YouTube channel. Lange said that he planned to “get the nose fixed eventually,” adding that he would need a rhinoplasty.

He opened that podcast by declaring that he was “eight months clean and sober” at the time.

He also shared a story about how he once accidentally snorted glass.

“I was with this broad in St. Louis at this nice hotel, and we were snorting OxyContin, and you got to crack the OxyContin up and make it into fine powder to snort it,” he began.

Lange explained that the woman he was with used a glass salt shaker to break up the OxyContin, a strong opioid used to manage severe pain.

As the woman was grinding the Oxy down to a powder, “The glass breaks,” Lange said. “She makes it real, real fine. She gets called to the front desk, and I come out. I see the lines, and I snorted them, and it was like a zipper… It went right up my nose, and it started to bleed.”

“So, you know, if kids are listening,” he added, “don’t do that.”