Paris Jackson Got a Hole in Her Nose (Perforated Septum) After Drug Use: Expert Explains The Surgery Process

Paris Jackson recently opened up about one of the most painful consequences of her past drug use. In a recent interview, she revealed that she developed a hole in her nose, known medically as a perforated septum. She said the damage “ruined my life,” and she is still dealing with the long-term effects.

A perforated septum may sound uncommon, but it’s a serious condition that can affect your breathing, appearance, and overall quality of life. To understand how this happens, and how it is treated, we spoke to Dr Vinayak Kurle, Consultant – ENT, Aster RV Hospital, Bangalore.

What Is a Perforated Septum?

A perforated septum is a hole in the nasal septum, which is the thin wall separating the two nostrils. Dr Kurle explains that this wall is made of cartilage, bone, and a soft lining called the mucosa. Its job is to guide airflow smoothly.

Common symptoms include:

• Frequent nosebleeds
• Persistent crusting
• Whistling sounds when breathing
• Dryness or irritation
• Visible changes in the nose shape in severe cases

Dr Kurle adds that severe perforations often need medical or surgical repair.

ALSO READ: Nosebleeds In Children: From Most Common To Rare Causes

Is a Perforated Septum Serious?

“It depends on the size and location,” says Dr Kurle. Small perforations may cause mild symptoms. These can often be managed with:

• Saline rinses
• Humidifiers
• Nasal moisturisers
• Ointments to reduce crusting
• But larger perforations can be much more serious. They may lead to:
• Repeated infections
• Heavy bleeding
• Breathing difficulty
• Nasal deformity
• Constant crusting

“Most perforations do not heal on their own,” the doctor adds. “An ENT evaluation is always recommended.”

How Drug Use Can Cause a Hole in the Nose

 

 

 

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Paris revealed that her perforated septum was caused by past drug use, which she now regrets deeply. Dr Kurle explains how this happens, “Drugs like cocaine constrict blood vessels. They cut off oxygen to the tissues inside the nose. Over time, the lining and cartilage die, leaving a hole.”

Symptoms of drug-related septal perforation may include:

• Burning or pain inside the nose
• Nosebleeds
• Whistling sounds
• Crusting
• Changes in nasal shape

“Once tissue is destroyed, it cannot grow back,” Dr Kurle says. “Stopping drug use completely is the only way to prevent further damage.”

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How Is a Perforated Septum Fixed?

Not every case needs surgery. Dr Kurle outlines the treatment options:

• Conservative care
• Saline rinses
• Nasal ointments
• Humidification
• Avoiding irritants
• These help reduce discomfort and crusting.
• Septal button
• A silicone button may be placed to temporarily cover the hole and reduce symptoms.
• Surgical repair

“For bigger perforations, surgery is often needed,” Dr Kurle says. Surgeons use tissue grafts from the nose or other areas to close the defect. But surgery only works if the underlying cause like drug use, trauma, or infection is addressed.

What Research Says About Septal Damage From Drug Use

Studies show that cocaine-induced nasal damage is far more common than people realise. A study published in The Journal of Substance Abuse Treatment noted that long-term cocaine use can lead not only to a perforated septum but also to the collapse of the nasal bridge due to tissue death. Early detection and complete cessation of drug use significantly lowers long-term complications.

ALSO READ: Struggling With Dry Skin Around Your Nose? Here’s How To Fix It Fast

Conclusion

Paris Jackson’s experience is a reminder of how drug use can cause deep, lasting damage—sometimes in places you least expect. A perforated septum is not just a cosmetic issue. It affects breathing, comfort, and even confidence. With proper treatment, support, and complete avoidance of nasal irritants, people can manage the condition and prevent complications. If you notice symptoms like crusting, bleeding, or breathing noises, an ENT check-up is always the right step.