Cocaine use can cause serious and progressive damage to the internal structures of the nose. Across the UK and Europe, more patients are seeking medical help after experiencing nasal collapse, septal perforation, and chronic symptoms linked to cocaine use. Understanding how this damage develops and recognising early signs is essential for preventing long-term complications and preserving nasal function.
How Cocaine Affects the Nose
When cocaine is inhaled, the blood vessels inside the nose constrict. Reduced blood flow limits the oxygen and nutrients available to the tissues. This leads to inflammation, ulceration, and gradual tissue breakdown. Over time, the nasal septum can weaken and perforate. In more advanced cases, the nasal bridge may begin to collapse due to loss of structural support.
These changes affect both breathing and appearance. Because the damage often progresses slowly, many individuals do not realise the extent of the injury until breathing becomes difficult or visible deformity appears.
Early Indicators of Nasal Damage
Recognising early warning signs can improve the outcomes of treatment. Symptoms may include:
● Persistent nasal blockage that is not related to allergies or infection
● Frequent nosebleeds, sometimes occurring without clear cause
● Crusting or scabbing inside the nostrils
● Reduced sense of smell
● Visible changes to the shape or contour of the nose
Anyone experiencing these symptoms should seek assessment by a specialist. Examination of the nasal passages, along with imaging if needed, helps determine the degree of tissue loss and identify the most appropriate treatment plan.
Treatment and Reconstruction Options
Management depends on the severity of the damage. In the early stages, stopping cocaine use and following a medical care plan can slow or prevent progression. Once structural damage is present, reconstructive surgery may be required to restore stability, function, and appearance.
Reconstruction may involve repairing the septum, reinforcing weakened areas with cartilage or bone grafts, and improving airflow. Septal perforations can sometimes be closed surgically. The success of this depends on the size of the perforation and the quality of the remaining tissue.
Why Early Intervention Matters
Cocaine related nasal damage is progressive. Ongoing use accelerates tissue loss and makes reconstruction more complex. Early evaluation by a specialist gives patients the best chance to stabilise their condition and maintain nasal function.
Even if surgery is not needed immediately, regular monitoring can help prevent further deterioration and manage symptoms effectively.
Specialist Care at The Nose Reconstruction Clinic
At The Nose Reconstruction Clinic, Dr. Callum Faris and his team specialise in managing complex nasal damage, including septal perforation and nasal collapse related to cocaine use. The clinic provides detailed assessment, customised treatment planning, and advanced reconstructive procedures tailored to each patient.
If you are experiencing symptoms or are concerned about possible damage, seeking help early is crucial. Contact The Nose Reconstruction Clinic today to schedule an assessment and take the first step toward restoring your nasal health.