A healthy nasal septum is essential for comfortable breathing and overall nasal health. The septum is the thin wall of cartilage and bone that separates the right and left nostrils. When a hole appears in this structure, it is called a nasal perforation or septal perforation. This condition can range from mild to severe and may cause symptoms such as dryness, crusting, bleeding, or even difficulty breathing. At the Nose Reconstruction Clinic in Amsterdam, our team led by Dr. Callum Faris provides expert care for patients experiencing these challenges with a focus on both function and comfort.
What causes a perforated septum
There are several reasons why a hole may develop in the septum. One common cause is previous surgery to the nose, including corrective or cosmetic procedures such as rhinoplasty. Trauma or accidents that injure the nose can also result in nasal damage, sometimes leading to a perforation. Other causes may include chronic infections, the use of nasal sprays or other substances over long periods, or medical conditions that affect blood flow and healing. Sometimes the exact cause is not known and requires careful examination by a specialist to determine the best plan for perforated septum treatment.
Treatment options for a septal perforation
Not every perforation requires surgery. For some patients, symptoms can be managed with moisturizing treatments to reduce dryness and crusting. Saline sprays and specially formulated ointments are sometimes recommended to improve day-to-day comfort.
For larger perforations or when symptoms impact quality of life, surgical options may be discussed. Surgery involves closing the hole with tissue taken from another area of the body or with grafts carefully designed to restore strength to the nasal wall. At the Nose Reconstruction Clinic, we specialize in advanced reconstructive techniques for even complex perforations. Learn more about how treatment works on our septal perforation procedure page.
Because each septal perforation is unique, the choice of treatment depends on its size, the symptoms it causes, and the patient’s overall health. The goal is always to restore stability and improve breathing while also maintaining a natural appearance of the nose.
Recovery after perforated septum treatment
Recovery varies depending on the treatment chosen. Patients who undergo nonsurgical management often notice gradual improvement as the nasal lining is kept hydrated. Those who choose surgery may expect some swelling and congestion in the first few weeks, which typically subsides as the tissues heal.
Most people are able to return to gentle activities within 2 weeks, but must avoid strenuous exercise or heavy lifting for several weeks in order to allow the nose to heal properly. It is also important to keep follow-up appointments with your specialist to ensure everything is progressing as expected. Full recovery can take several months, but patients often experience significant improvements in breathing, comfort, and quality of life during that time.
Success Rate of Surgery
Dr Faris’ success rate for septal perforation closure is over 95% for perforations smaller than 3 cm.
Expertise you can trust
Dr. Callum Faris is an ENT specialist and double fellowship-trained facial plastic surgeon with decades of experience treating both simple and highly complex nasal conditions. He is the director of the Face Institute in Amsterdam. His extensive training across Europe, North America, and the UK has provided him with the expertise necessary to handle even the most challenging cases of nasal reconstruction and correction.
At the Nose Reconstruction Clinic, we take time to listen to your concerns and create a treatment plan that fits your needs while setting realistic expectations. Our goal is to guide patients through their care with reassurance and compassion, providing access to advanced techniques in a supportive and professional setting.
Schedule a Consultation
Living with a septal perforation can be frustrating, but help is available. Whether you are seeking relief from dryness and discomfort or exploring surgery for improved breathing and function, our team is here to support you.
If you would like to learn more about perforated septum treatment in Amsterdam, contact us directly to schedule your consultation. Together we can explore the right treatment plan to restore your comfort and confidence.