Should I Get My Septum Pierced?

A septum piercing passes through the nasal septum, the wall dividing the two nostrils. Contrary to common misconception, a correctly placed septum piercing does not go through the hard septal cartilage. Instead, it is placed through the “sweet spot” or columella—a thin, flexible area of tissue just behind the tip of the nose. This placement is chosen because it is the least painful and allows for a significantly faster healing process.

Aesthetic and Lifestyle Considerations

The visual impact of a septum piercing is highly customizable, ranging from a subtle accent to a bold statement piece. Jewelry options include circular barbells, which resemble a horseshoe, and septum clickers, which feature a hinged closure and often more decorative fronts. The choice of style, size, and material allows the piercing to complement or dramatically alter the appearance of the lower face.

One of the most practical advantages of a septum piercing is the ability to conceal it completely when necessary. If the initial jewelry is a circular barbell or a retainer, it can be rotated upward into the nostrils, making it virtually invisible. This feature makes the piercing suitable for individuals who work in professional environments or have social settings with strict dress codes that prohibit visible facial jewelry.

While the piercing can be hidden, the decision still represents a long-term commitment to body modification. The initial healing period requires dedication to aftercare, and even after healing, the piercing hole can close quickly if the jewelry is removed for an extended time. For those who need to hide the piercing during the healing phase, a piercer can insert a retainer and flip it up immediately, minimizing the temptation to touch or move it.

The Piercing Procedure and Pain Level

The success and comfort of a septum piercing depend on the piercer accurately locating the “sweet spot.” This area is a thin, membranous section of tissue situated between the bottom of the nose and the hard septal cartilage. If the needle passes through the dense cartilage, the pain is significantly higher, and the healing time is extended from months to potentially a year or more.

The procedure begins with the piercer cleaning the area and using a sterile marker to confirm the placement with the client. A specialized tool, such as forceps, may be used to stabilize the tissue and guide the needle. The piercing itself is a swift process, typically taking only a few seconds for the needle to pass through the tissue and the initial jewelry to be inserted.

Most people rate the pain level for a correctly placed septum piercing as low to moderate, often described as a quick, sharp pinch or pressure. The sensation is frequently compared to the feeling of needing to sneeze, and the eyes may water involuntarily as a natural reflex due to the proximity to nasal nerves. Any sharp discomfort is momentary, though mild tenderness and swelling are expected in the days immediately following the procedure.

Healing, Aftercare, and Jewelry

The initial healing period for a septum piercing placed in the sweet spot is relatively short, typically ranging from six to eight weeks. However, full maturation of the piercing channel, where the tissue is completely stable, can take between three to six months. Prematurely changing the jewelry or neglecting aftercare can easily prolong this timeline.

The recommended aftercare routine is simple but requires consistency, focusing on cleaning the piercing twice daily with a sterile saline solution. It is important to avoid harsh chemicals like alcohol or hydrogen peroxide, as these can irritate the delicate healing tissue and delay recovery. Avoid touching, twisting, or moving the jewelry unnecessarily, as this introduces bacteria and disrupts the formation of new skin cells.

Initial jewelry is usually a circular barbell or a retainer, made from biocompatible materials such as implant-grade titanium or gold. These materials minimize the risk of allergic reactions and irritation, which are common causes of healing complications. Signs of a potential issue, such as excessive redness, prolonged pain, or thick, discolored discharge, should prompt a consultation with the piercer or a healthcare professional.