A Specialized Surgical Approach Focused On Breathing And Nasal Function
Natural Results.
A septal perforation can disrupt airflow and lead to chronic dryness, crusting, nosebleeds, whistling sounds, and persistent discomfort. Many patients arrive here after being told there is little that can be done.
At PROFILES Beverly Hills, septal perforation repair is treated as a complex reconstructive procedure, not a temporary solution. Our surgeons focus on restoring nasal structure and function when repair is appropriate.
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Functional, reconstructive focus
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Advanced techniques for complex cases
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Careful evaluation and patient selection
What Our Patients Say
Testimonials
I went to Profiles for a primary rhinoplasty and I had the best experience! I am currently 2.5 months post op and I am already so happy with the results. Dr. Solieman and Dr. Litner made me feel so comfortable throughout the entire process and the results are beyond my expectations. I cannot recommend them enough for their excellent bedside manner, professionalism and exceptional skill!
S.S
Dr. Solieman and Dr. Litner as well as the entire team at Profiles are incredibly efficient, professional, and kind. During the entire process I felt so comfortable and knew that I was being well taken care of. I am so happy with my results and couldn't recommend enough!
K.G
For a long time, I was uncomfortable with my under eye circles and unshapely nose. After finding and meeting the Profiles doctors, I decided these were the doctors to have this once in a lifetime experience with! Dr. Litner and Dr. Solieman achieved exactly what I wanted and helped me bring my confidence back. This compassionate team has smiling and I'm so fortunate to have found them!
J.W
Before & After Photos
Explore Real Patient Results
This patient had broken her nose with consequent severe loss of tip support, tip rounding, crookedness, and a traumatic bump. In this case, a lateral crural overlay technique was used to reduce and lift the tip along with a septal extension to help with support and straightening which has improved tremendously as seen on the base view. Even though she’s still swollen in these early photos, she already has a great result and it’s only going to get better.
Your Septal Perforation Repair Specialists
Whether you have been diagnosed with a severe perforation or are looking for a surgeon to fix a hole in your septum, our experts provide long-term reconstructive solutions.
Septal perforation repair requires specialized training and experience. It is not routinely performed by all ENT or cosmetic rhinoplasty surgeons.
Dr. Peyman Solieman completed advanced fellowship training under Dr. Russell Kridel, one of the most recognized septal perforation specialists in the United States. Together with Dr. Jason Litner, he treats patients with complex and non-routine nasal conditions at PROFILES Beverly Hills.
Their shared focus is restoring nasal function safely and thoughtfully, based on each patient’s anatomy and symptoms.
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Specialization in complex septal perforation repair
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Advanced training in facial plastic and reconstructive surgery
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Focus on breathing, comfort, and long-term function
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Experience with revision and challenging nasal cases
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Surgeon-directed care and close post-operative follow-up
When Chronic Nasal Symptoms May Signal A Septal Perforation
In this video, Dr. Peyman Solieman and Dr. Jason Litner explain how chronic dryness, crusting, bleeding, or breathing discomfort may be related to a septal perforation. They outline how these cases are evaluated and how treatment decisions are made based on each patient’s anatomy and symptoms.
Unlike many nasal procedures that involve external skin incisions, septal perforation repair is performed internally. There are no visible external cuts, and the surgical technique and repair process are explained clearly in the video.
As leading septal perforation specialists in Los Angeles and Southern California, Dr. Solieman and Dr. Litner evaluate patients from across the state and the country.
Common Concerns, Answered
What Symptoms May Improve
◉ Nasal whistling
◉ Chronic crusting and dryness
◉ Recurrent nosebleeds
◉ Breathing discomfort or airflow imbalance
◉ Ongoing nasal irritation
Recovery at a Glance
◉ Days 1–3: congestion, pressure, mild discomfort
◉ Weeks 1–2: internal healing with follow-up
◉ Weeks 3–6: gradual improvement in breathing
◉ 6–12 weeks: tissue maturation and stabilization
Comfort & Care
◉ Pain typically managed with oral medication
◉ Detailed aftercare instructions
◉ Close post-operative monitoring
◉ Surgeon-directed recovery planning
Symptoms A Septal Perforation May Cause
A septal perforation (commonly referred to as a hole in the septum) can disrupt airflow and lead to bleeding, crusting, and breathing discomfort. When left untreated, symptoms may worsen over time. Evaluation by an experienced septal perforation specialist is essential to determine the right approach.
Difficulty Breathing
Airflow obstruction in one or both nostrils caused by septal damage.
Frequent Nosebleeds
Recurrent bleeding related to chronic dryness and fragile nasal tissue.
Chronic Nasal Crusting
Persistent dryness and buildup inside the nose affecting comfort.
Whistling Or Noisy Breathing
Unusual sounds during breathing or sleep due to disrupted airflow.
Nasal Pain Or Irritation
Ongoing discomfort caused by exposed or damaged septal tissue.
Imbalanced Nasal Airflow
Alternating blockage from one side of the nose to the other.
Conveniently located in Beverly Hills, easily accessible from anywhere in Los Angeles, CA.
FAQs
In many cases, surgical repair is possible, depending on the size, location, tissue health, and patient factors.
No. This is a functional and reconstructive procedure focused on breathing and nasal health.
Not always. Some patients may benefit from conservative management. Surgery is considered when symptoms persist and repair is appropriate.
No surgical outcome can be guaranteed. The goal is functional improvement and symptom relief when feasible.
Temporary congestion is common early in recovery, with gradual improvement over time.
No, a hole in the nasal septum will not heal or close without surgical intervention. If you are experiencing symptoms, repairing the hole requires a specialized reconstructive procedure to restore the tissue and airflow.
Focused on Breathing & Nasal Function
Book Your Virtual Consultation
At PROFILES Beverly Hills, septal perforation repair is approached as a complex reconstructive procedure, not a temporary fix. When repair is appropriate, our surgeons focus on restoring nasal structure, airflow, and long-term function.
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Expertise in complex nasal reconstruction
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Function-first, anatomy-driven approach
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Personalized surgical evaluation
Virtual Consultations are secure, confidential, and conducted via video call directly with Dr. Solieman or Dr. Litner. (Consultation fee may apply).