I have a hole in my nose (still growing) from doing cocaine about 5 years ago. I've stopped the drugs for over 3years now but my nose is falling apart and its really depressing me. What can I do to fix it? I know the cartilage wont grow back so for the last 1.5 yrs I've been putting Ayr nasal gel and petroleum jelly on the exposed cartilage. Now the whole nose is caving in on me and there is a hole the size of my index finger that can almost fit through from one side to the other. PLEASE HELP ME
How to Fix Hole in Nose Caused by Cocaine Use?
Doctor Answers (3)
It is important to prevent collapse and if possible close the hole
A hole in your nose/ septal perforation is a relatively difficult problem to correct and requires a practice/ surgeon who specializes in this procedure. It is not enough to see an ENT or Plastic surgeon as the majority of either of these surgeons will have essentially no practical experience in correcting this problem.
Depending on the size of the hole it is possible through an open rhinoplasty approach to creat flaps that can close the hole. Based on the fact that you feel your nose is collapsing, it would suggest either the hole is relatively large with a low likelihood of it being able to be closed or the perforation is high in the septum and destabilizing the nose.
Even if it is not possible to close the hole it is important to create more support and prevent any further collapse. In the right hands this can be done in a way that should support your nose for the rest of your life so that you won't need to worry about collapse.
Peyman Solieman, MD
Treatment of septal perforation
Repairing hole in nose due to cocaine use
A hole in the nose (septal perforation) caused by cocaine use is often treated with a septal button. Placement of the septal button is a surgical procedure. Consult with an otolaryngologist in your area to determine if this is an option for you.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.