Septal Perforation Treatment

If you suffer from a perforated septum, there are various options to repair it. However, not everyone needs a surgical repair of their perforation. A thorough exam and evaluation, including nasal endoscopy and possibly a CT scan of the nose and sinuses, should be completed before a decision to proceed with the surgery is made.

A Commitment to Excellence

Hootan Zandifar, MD, FACS, Board Certified Facial Plastic & Reconstructive Surgeon

What is septal perforation?

A septal perforation is a hole in your nasal septum, which divides the two cavities of your nose. The hole is usually classified as small (less than 1 centimeter), medium (between 1 and 2 centimeters), and large (more than 2 centimeters).

  • Septal Perforation Symptoms: Symptoms can range from mild to severe, depending on the size of the hole. You may experience bloody noses, crusting or scabbing of your nose, pain in your nose, headache, or a whistling sound when you breathe through your nose. 
  • Septal Perforation Causes: There are many causes of septal perforation. They can vary from trauma to certain autoimmune diseases, to snorting drugs such as cocaine, or medications such as nasal steroid sprays and some chemotherapy drugs.
  • Can a perforated septum be repaired? Yes! Several methods are used for repairing a perforated septum. The exact method is determined based on the hole’s size, the associated symptoms, and the expectations and desires of the patient.

Septal Perforation Treatment Types

Septal perforation repair is a name given to a series of procedures that are performed to either close a hole in the septum or decrease or diminish the symptoms of a septal perforation.

  • Septal Button or Silicone-based implant: This is often the most straightforward method to close the septal perforation. It typically allows for relief of symptoms and improvement of the quality of life. The button, or implant, can be a generic size or made specifically for your nose. Some buttons can also be removed for daily cleaning. 
  • Surgical: A surgical approach may be needed if a septal button or implant is unsuccessful. Usually, most septal perforations can be closed using endoscopes or a Rhinoplasty (nose job) approach. In septal perforation repair surgery, the nasal cavity lining (mucosa) is repositioned to cover and close the hole. Afterward, a pair of silicone splints are placed in the nose and kept there until the mucosa has healed.
    • Endoscopic: For smaller holes, the repair can often be done endoscopically through the nostrils, with no external incisions or scarring.  
    • Rhinoplasty: Larger holes typically require an external incision, similar to a Rhinoplasty. The incision is usually small and made underneath your nose to minimize visible scars.

How successful is perforated septum surgery?

The smaller the hole is, the more successful the closure. However, the closure rates have increased even for larger holes with today’s techniques and technologies. It is also essential to follow the post-op recommendations to prevent the hole from reopening. 

Is septal perforation repair surgery painful?

The recovery is very similar to a septoplasty or a rhinoplasty procedure. Some discomforts are associated with it, but most patients can manage it with oral pain meds.

Why Zandifar MD is the Best Choice for Septal Perforation Repair

Dr. Zandifar is a double board-certified Ear, Nose, and Throat and Facial Plastic and Reconstructive Surgeon.  He has over a decade of experience in the field of nasal reconstruction. Our office provides a tailor-made experience for each patient that makes everyone feel like a VIP. We are a boutique practice that focuses on excellence and customer care. Contact us today to schedule a consultation to discuss if septal perforation treatment could improve your quality of life.

Schedule Your Consultation

At Zandifar MD, has two convenient office locations in the Los Angeles area. Schedule your consultation and find out how  Dr. Zandifar can help you breath better.

Beverly Hills Office

8920 Wilshire Blvd, Suite 604
Beverly Hills, CA 90211

Santa Monica Office

2811 Wilshire Blvd, Suite 640
Santa Monica, CA 90403