How serious is a perforated septum?
Michael King
Updated on March 20, 2026
A perforation makes the septum more fragile and susceptible to breakdown. If the hole gets larger, it can create significant discomfort including excessive dryness, crusting, obstructed breathing, bleeding and chronic infections.
Should I worry about a perforated septum?
You should visit your doctor if you suspect a perforated septum or have problematic symptoms related to your nose or breathing. A visit to your doctor for a perforated septum may involve: questions about your symptoms, health history (including prior surgeries and medication use), and habits (such as drug use)Do you have to fix a perforated septum?
Nonsurgical TreatmentsIf you're not having any symptoms, it may not need any treatment. Sometimes, though, holes in your septum increase dryness and may lead to nose bleeds. It is also common for the edges of the hole to form a crust and bleed.