A septal perforation — a hole in the cartilage that separates your nostrils — can be uncomfortable and worrying, especially if it starts to affect your breathing or quality of life. The good news? In most cases, a septal perforation can be treated successfully. With modern surgical techniques and the right specialist, septal perforation repair is not only possible, but often highly effective.
What Is a Septal Perforation?
The nasal septum is the thin wall that divides the left and right sides of your nose. A perforation occurs when a hole develops in this wall, either due to injury, surgery, prolonged nasal spray use or certain health conditions. While some people may not experience any symptoms, others might deal with:
- Difficulty breathing through the nose
- Nosebleeds
- Whistling sounds when breathing
- Crusting or dryness in the nose
- Discomfort or pressure
Can It Be Fixed Without Surgery?
In very small or early cases, non-surgical management may help reduce discomfort. This can include:
- Saline sprays or gels to keep the nose moist
- Custom nasal plugs or silicone splints to block the perforation
- Monitoring by a specialist for changes over time
However, these are often temporary solutions and won’t close the hole. If symptoms continue or the perforation gets larger, surgical septal perforation repair is usually the best option.
How Is Septal Perforation Repair Performed?
Surgical repair involves carefully closing the hole using tissue from inside the nose or from another area (such as the ear or scalp). A specialist in nasal surgery will assess the size and location of the perforation and choose the best technique to achieve long-term results.
In many cases, this procedure can also improve nasal breathing, prevent frequent nosebleeds and restore overall comfort.
Why See a Specialist?
Septal perforation repair is a delicate procedure that requires detailed understanding of nasal structure. Not all ENT or plastic surgeons routinely perform this type of surgery. To ensure a safe and effective outcome, it’s important to work with a surgeon experienced in complex nasal procedures — like those at My Nose London.
Final Thoughts
If you’re experiencing discomfort, breathing issues or other symptoms from a septal perforation, you don’t have to live with it. Surgical septal perforation repair is a reliable option that can restore comfort, function and peace of mind.
To find out if you’re a suitable candidate, book a consultation at My Nose London today and speak to a trusted expert in nasal surgery.











