The septum is the cartilage that separates the nasal passages in your nose. But when the septum becomes perforated, normal airflow is obstructed, and symptoms like dryness, crusting, and bleeding can occur. Patients should seek the help of a female facial plastic surgeon to restore the septum and improve breathing again.

Double board-certified facial plastic surgeon Dr. Lee Ann M. Klausner is a specialist in nasal septum repair and has a wealth of experience helping people with this specific condition. Call Lee Ann M. Klausner, M.D., PLLC in Manhattan for a consultation today. We create custom surgical plans to ensure the best possible results.

What are the symptoms of a perforated septum?

A perforated septum may be the result of trauma, a previous surgery, or long-term drug use. Patients can have one or more symptoms that make day-to-day life more challenging, including:

  • Nasal crusting: Crusting inside the nasal passages can be unpleasant and hard to remove.
  • Whistling: A tear in your septum may cause a whistling or hissing sound when breathing out of your nose.
  • Breathing difficulty: A larger perforation can disrupt the air pressure on either side of your nose, making it tougher to breathe.
  • Runny nose: Abnormal airflow dries out the internal membrane of your nose, causing an increase in mucus production.
  • Frequent or heavy bleeding: An enlarged tear in the septum can cause frequent nosebleeds or heavy bleeding.
  • Sinus infections: A perforation allows harmful bacteria to enter the nasal passages, leading to frequent sinus infections.

Does a perforated septum always lead to nosebleeds?

No, not necessarily. Nosebleeds can occur due to other conditions or causes unrelated to a perforated septum. However, if you experience frequent nosebleeds that accompany any of the above symptoms, it's best to seek medical attention from a female facial plastic surgeon in the areas of Upper East Side, Yorkville, Lenox Hill, and Carnegie Hill. Dr. Klausner can assess your septum and determine a treatment plan to restore your nasal passage to optimal health.

What is septum repair like?

Any procedure related to the septum is considered complicated because it addresses many layers of tissue at once: the mucosal membrane on both sides of the septum as well as the cartilage and bone in between the membranes. Dr. Klausner may use a graft to rebuild the area and increase natural support. Once the area is reconstructed, we may use sutures to close any openings and keep the septum straight.

Will my nosebleeds stop immediately after surgery?

Though nosebleeds may still occur during recovery, the bleeding should eventually stop once the area has healed. We encourage patients to observe any post-operative instructions provided by Dr. Klausner and attend all scheduled follow-up appointments. Let us know if your nosebleeds continue to cause problems.

Some post-treatment guidelines include:

  • Getting plenty of rest
  • Avoiding strenuous exercise and heavy lifting
  • Taking antibiotics or medications as prescribed
  • Ensuring that the nose is kept clean and free of debris

Learn more about septum repair

Frequent nosebleeds can be a sign of something serious. If you think you have a perforated septum or other nasal condition, call Lee Ann M. Klausner, M.D., PLLC in Manhattan to set up an appointment with a trusted female facial plastic surgeon. Double board-certified facial plastic surgeon Dr. Lee Ann M. Klausner is dedicated to providing excellent care and helping patients in Manhattan restore their health.

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