Nasal septal perforation surgery
Best Treatment for Cocaine Induced Nasal Septal Perforation (Hole) and External Nasal Collapse
First thing that you can do is keep your fingers out of your nose, you won’t be able to help, but you may make things worse.
Second, relax and make a few consultations with experienced and skilled rhinoplasty surgeons.
The hole (septal perforation) can be repaired if it is the size of your index finger, and the collapse of your external nose can be corrected with augmentation cartilage grafts.
Cocaine is a very bad and addicting drug, glad that you are off of it. (Michael A. Persky, MD, Encino Facial Plastic Surgeon)
What to do about the hole in my nose?
Very difficult issue to correct. Seek in person advise and options from boarded PSs in Las Vegas.
Surgery with grafts are the better options. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Hole in the nasal septum after cocaine use
Unfortunately, this is a common problem for cocaine users. If the hole is small, there may be no symptoms except a whistling sound on inspiration. Large perforations tend to crust and bleed. However in the severly damaged septum, collapse of the nasal dorsum can occur. This saddle nose deformity can best be treated with a rib graft (David A. Bray, Sr., MD, Los Angeles Facial Plastic Surgeon)
Septal Perforation closure may not be necessary
Few surgeons actually have a lot of experience with septal perforations (hole in your septum) and as a result finding someone who can help can be difficult. Luckily, we have a lot of expereince with this procedure and can help you determine whether attempting closure is possible or worth pursuing.
In those case when the hole is very big and closure cannot be accomplished, patients can often have problems with the bridge of the nose or even the tip collapsing.
In those cases, we can speak to you about how we can build up the necessary support so that your nose can be stable and function long term. (Peyman Solieman, MD, Beverly Hills Facial Plastic Surgeon)
Cocaine causes internal and external problems
I am happy that you are no longer on cocaine. Many users cannot stop, so you can be proud. Cocaine causes septal perforations by affecting circulation to the nasal lining.
If there is exposed bone or cartilage, that can be trimmed back to reduce bleeding and rusting. The shape is another issue. Rib cartilage reconstruction is usually necessary to fix the upper lip, the bridge, and the tip.
Select an experienced surgeon whom you trust and whose results in cocaine noses you like. You can be much improved. (Mark B. Constantian, MD, FACS, Nashua Plastic Surgeon)
Nasal Septal Hole Secondary to Cocaine
Cocaine use compromises circulation to the septum which ultimately dies, causing the hole. Normal air flow through the nose will dry the mucosal edges of the opening which breaks down and the hole enlarges.
This progression can be stopped by placement of a silicone disc or reconstructive surgery. You should take care of this in the near future. (Richard W. Fleming, MD, Beverly Hills Facial Plastic Surgeon)
Nasal Septal Perforation due to Drugs
Septal perforations, when stable, can either be asymptomatic or cause problems with air flow. The former needs no reconstruction. Yours, however, sounds as if it is not stable, but progressive.
If what you say is true, and you have cartilage actually exposed, this could be the reason for the progression. Usually, the hole will develop, the cartilage will die back beyond the edge of the mucosa (covering), and the mucosa will grow together side to side.
If this has not happened, you probably have a chronic infection or other problem that is causing further death of cartilage and mucosa. You need to see a Plastic Surgeon or Otorhinolaryngologist (ENT) with experience in nasal reconstruction soon. (Robert T. Buchanan, MD, Highlands Plastic Surgeon)
Septal perforations can cause loss of nasal support
Like the wall of your dwelling, the septum supports the ‘roof’ of your nose – a weakened and perforated septum can lead to loss of nasal support and collapse of the nasal dorsum. An open rhinoplasty with cartilage grafting to the septum and repair of the defect in the nasal lining is a complex reconstructive surgical procedure. (Scott C. Sattler, MD, FACS, Seattle Plastic Surgeon)
What to do about the hole in my nose
The hole In the nose can be repaired with a septal button which can placed under local anesthesia to close the hole. The septal perforation creates cross ventilation of the nose which causes crusting, debris, bleeding and nasal obstruction. Reconstruction of the bridge line can be performed if the shape of the nose is changed with cartilage graft harvested from the ear. (William Portuese, MD, Seattle Facial Plastic Surgeon)