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Paris Jackson Reveals Perforated Septum Linked to Past Drug Use

She says she will forgo surgical repair to avoid pain medications that could threaten her sobriety.

Overview

  • In a Nov. 9–10 social video, the 27-year-old showed the hole by shining her phone light into her nostril and noted the issue is distinct from a deviated septum.
  • She said the perforation causes a loud whistle when she breathes, complicates vocal recording, and is large enough to pass a spaghetti noodle through.
  • Jackson attributed the damage to prior drug use and cautioned viewers not to use drugs, calling the experience something that “ruined” her life.
  • She explained she will not seek surgery because postoperative pain pills could risk relapse, noting she marked five years sober in January 2025.
  • Reporting cited medical guidance that a perforated septum is a hole between the nostrils with causes that include drug misuse and that management ranges from humidification and ointments to prosthetic buttons or surgery, with no new treatment announced by Jackson.