Unique perforated septum - is it worth fixing? (photo)

Even small septal perforations can be difficult to repair. If it bothers you it is worth repairing. Just be aware that the surgery may not be successful, but it would leave you no worse off than you are now.

Seek out a Board Certified Facial Plastic Surgeon who regularly performs a huge volume of septorhinoplasty surgery- and you will find your answer. A methodical history followed by a careful nasal exam will quickly reveal  the degree of surgical difficulty, and your selected surgeon can easily describe what his or her game plan may be to achieve your goal. I see a lot of septal perforations, and having a hole in the lowest part (called membranous septum) is rare, but over the last 30 years I have surgically managed four, and because of the relative ease of access-results are very gratifying-100% closure rate.  Find an experienced surgeon in your area who may have the skill and technology to make your dreams come true....

The bottom line is that can be easily corrected especially since it is toward the front part of your septum where there is more available tissue to rotate into the hole and close it. I would recommend seeing a facial plastic or ENT surgeon in your area. Saddling is unlikely to occur with that type of injury although you could develop some tip drooping or ptosis over time.