Septum piercing after septorhinoplasty? (Photos)
Doctor Answers 2
Don't recommend piercing
I don't know what your prior surgeon did, but I would recommend against piercing your columella. It is possible there is graft or cartilage work there that is important to your tip support. Additionally, the septum could be slightly softer if cartilage was taken during the operation and the hole from a piercing could enlarge to become a perforation.
Lastly, there is always the risk of reactivity from the metal or infection - totally not worth it after you have done so much to get your nose fixed in my opinion.
Hope that helps,
Christopher C. Chang, MD
Washington DC, Maryland, and Virginia