He has a "big head." A person who is filled with his own importance and pride is said to have "his nose in the air.

VOA: special.2009.03.08

He ended up on a circus sideshow traveling through the country with the big steel pipe that went through his head.

最终,在一个全国巡游的马戏团里,大钢管打烂了他的脑袋,结束了他的生命

耶鲁公开课 - 心理学导论课程节选