Can a perforated septum heal itself?

Septal perforations typically can not heal themselves.  Septal perforations range in size and symptoms.  Typically, posterior septal perforations can be left alone that are asymptomatic while the more anterior the perforation the more likely it will become symptomatic.  If a perforation is stable in size (especially if the patients is using nasal saline, gel and other nasal emollient) then observation is fine.  If the perforation continues to grow in size or becomes symptomatic, repair can be considered.

Hi A Liberator,I am sorry you are having a problem.  The main thing to ask yourself is if it is causing you problems or symptoms.  Is it bleeding, crusting or whistling, or smells bad.  If so, then fix it, but your would need a super expert with a lot of experience to stack the cards in your favor.  Otherwise, just leave well enough alone.  It wouldn't heal a year postop.  I wish you all the best,"Dr. Joe"

Perforated septum generally do not heal themselves.  You will need a surgery to correct it that can be somewhat complex.   However, not all perforations necessarily need to be corrected.  Best of luck. Dr. Michael OmidiAn in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.