The Ultimate Guide to Septum Piercing: Process, Pain, Cost, Healing, and Aftercare

A septum piercing gives you a bold and stylish look while being easy to hide when needed. One of the best things about it is that you can use a retainer to make it invisible, which is perfect for those who don’t want a visible piercing all the time. Unlike regular nose piercings, a septum piercing doesn’t go through hard cartilage, so it usually hurts less and heals faster. You can also change your jewelry to switch between a simple or bold look anytime. This guide is all about helping you understand everything before getting a septum piercing.

What is a Septum Piercing?

A septum piercing is a type of nose piercing that goes through the thin piece of skin between the nostrils, called the septum. Unlike traditional nose piercings that go through the side of the nostril, a septum piercing is placed in the small gap of soft tissue just below the cartilage. This allows the jewelry to hang in the center of the nose, creating a unique and stylish look. It is a popular choice for people who want a bold or edgy appearance, and it can be customized with different types of jewelry, such as rings, horseshoes, or clickers.

This piercing has been worn by various cultures throughout history and is often seen in tribal and traditional practices. Today, it is a common fashion statement and is loved by people of all styles. One of the reasons it is so popular is that it can be easily hidden with a retainer if needed. While it may look intense, the actual piercing is done quickly, and many people find it less painful than expected. Whether worn as a subtle accessory or a bold statement, a septum piercing adds a unique touch to a person’s appearance.

Do Septum Piercings Hurt?

Septum piercings can be painful, but the level of pain varies from person to person. On a pain scale of 1 to 10, most people rate it between 4 to 6, depending on their pain tolerance. The piercing goes through a soft, thin piece of tissue, known as the “sweet spot,” which makes it less painful than cartilage piercings. Many describe the pain as a sharp pinch or a stinging sensation that lasts only a few seconds. Since the procedure is quick, the intense pain doesn’t last long, and any discomfort fades soon after.

After the piercing, some soreness and tenderness are expected, with pain levels ranging from 2 to 4 on the scale. There might be mild swelling or a dull ache for a few days, but this is usually manageable. The pain is generally less than cartilage piercings, and with proper aftercare, it subsides quickly. However, if the piercing is bumped or moved, it can cause temporary sharp pain. Overall, while a septum piercing does hurt, the pain is short-lived and tolerable for most people.

How Much Does a Septum Piercing Cost?

The cost of a septum piercing usually ranges between $40 to $100, depending on the location, the experience of the piercer, and the type of jewelry used. In some high-end piercing studios, the price can go even higher, especially if they offer premium jewelry made of materials like titanium or gold. Many studios include the cost of basic jewelry in the price, but if you want a more stylish or high-quality option, you may have to pay extra. Some places also charge separately for aftercare products, which can add to the overall cost.

Apart from the piercing fee, you should also consider tipping your piercer, which is generally 10-20% of the total cost if you’re happy with their work. Choosing a professional and reputable piercer is important, even if it costs a little more, as it reduces the risk of infection and ensures a smoother healing process. While cheaper options might seem tempting, they may not follow proper hygiene standards, which can lead to complications. It’s always best to go to a well-reviewed piercing studio to ensure both safety and quality.

How Long Does a Septum Piercing Take to Heal?

A septum piercing usually takes about 6 to 8 weeks to heal, but for some people, it can take 3 to 6 months for complete recovery. The healing time varies based on individual factors like aftercare, overall health, and whether the piercing was done properly. During the first few weeks, you may experience soreness, tenderness, or slight swelling, but this should gradually improve with proper care. Most people find that after a month, the piercing becomes more comfortable, though it’s still important to be gentle with it.

Even if your septum piercing feels better after a few weeks, it doesn’t mean it’s fully healed. The tissue inside takes longer to recover, so good aftercare is essential to prevent irritation or infection. Avoid touching it with unwashed hands, changing the jewelry too soon, or using harsh cleaning products. Signs of infection, such as redness, pus, or ongoing pain, should not be ignored—if this happens, it’s best to consult a professional piercer or a doctor. Patience and proper care will help ensure a smooth healing process.

What Gauge Is a Septum Piercing?

A septum piercing is typically done with a gauge size that determines the thickness of the jewelry. The most common sizes are 16 gauge (1.2mm) and 14 gauge (1.6mm), with 16G being the standard for most piercings. Some people may start with a smaller 18 gauge (1.0mm) for a more delicate look, but this is less common. If someone wants a bolder appearance, they can gradually stretch their piercing to a larger gauge over time. The initial gauge size usually depends on the piercer’s technique and the individual’s preference.

Choosing the right gauge is important for comfort, healing, and jewelry options. A standard 16G or 14G allows for a variety of jewelry styles, including clickers, seamless rings, and circular barbells. If you are unsure about your gauge size, it’s best to consult a professional piercer before changing your jewelry. Using the wrong gauge can lead to irritation, discomfort, or difficulty in inserting new jewelry. Always opt for high-quality materials like titanium, surgical steel, or solid gold to prevent infections and allergic reactions.

How to Pierce Septum?

Piercing a septum should always be done by a professional piercer to ensure safety and proper healing. A professional will use sterilized tools, follow hygiene protocols, and ensure the piercing is placed correctly. However, if you are curious about the process, here are the basic steps involved in getting a septum piercing:

  • Find a professional piercer with experience and good hygiene practices.
  • Ensure proper sterilization by making sure all equipment, including the needle and jewelry, is sterilized.
  • Mark the piercing spot using a surgical pen to ensure accurate placement.
  • Use a clamp to hold the septum in place and find the “sweet spot” (the thin tissue between the cartilage and the bottom of the nose).
  • Insert the sterile needle through the marked spot quickly and smoothly.
  • Place the jewelry (usually a horseshoe or circular barbell) carefully into the fresh piercing.
  • Clean the area with a saline solution to prevent infection.

After getting a septum piercing, it’s important to follow proper aftercare to ensure smooth healing. Avoid touching it with dirty hands, twisting the jewelry unnecessarily, or using harsh chemicals. Always seek professional help if you experience pain, swelling, or signs of infection.

Septum Piercing Sizes

Septum piercing sizes vary depending on personal preference and anatomy. The most common size for a septum piercing is 16 gauge (1.2mm) or 14 gauge (1.6mm). However, some people prefer smaller or larger sizes based on their style and comfort. The diameter of the jewelry also matters, typically ranging from 6mm to 12mm. A snug fit looks more subtle, while a larger diameter gives a bolder appearance. Choosing the right size ensures both comfort and proper healing.

When selecting a septum piercing size, it’s important to consider your nose shape and piercing placement. If the piercing is too thick, it may take longer to heal, while a thinner gauge can be more delicate. Many people start with a standard size and later stretch their piercing for a thicker look. It’s always best to consult a professional piercer to find the right size for your nose. The right fit not only enhances style but also prevents irritation and discomfort.

Septum Piercing Size Chart

Gauge Size (G)Thickness (mm)Common for Initial PiercingHealing Time (Weeks)Jewelry Diameter Range (mm)Recommended for Stretching
20G0.8Rare6-86-10No
18G1.0Rare6-86-10No
16G1.2Most Common6-86-12Yes
14G1.6Common6-88-14Yes
12G2.0Less Common8-128-14Yes
10G2.4Uncommon8-1210-16Yes
8G3.2Rare12-1610-18Yes
6G4.0Rare12-1612-20Yes
4G5.0Rare16-2414-22Yes
2G6.5Very Rare24+16-24Yes
0G8.0Very Rare24+18-26Yes

This table gives a detailed overview of different septum piercing sizes, their thickness, healing time, and whether they are suitable for stretching. Choosing the right size depends on comfort, healing, and personal style preferences.

When Can You Change a Septum Piercing?

You should only change your septum piercing once it has fully healed. Changing the jewelry too early can cause irritation, infection, or slow down the healing process. If your piercing still feels sore, swollen, or has discharge, it’s best to wait longer before switching it. Always wash your hands before touching the piercing to avoid introducing bacteria that could lead to complications.

Process to Change a Septum Piercing Safely

  • Wait for full healing – Usually 6 to 8 weeks, but it can take longer.
  • Check for signs of healing – No pain, swelling, or discharge.
  • Clean your hands – Always wash hands before touching the jewelry.
  • Use a mirror – It helps to see what you’re doing clearly.
  • Gently remove the old jewelry – If it doesn’t move easily, wait longer.
  • Insert new jewelry carefully – Use titanium, surgical steel, or gold to avoid irritation.
  • Check for discomfort – If it hurts or gets red, switch back to the original jewelry.
  • Keep it clean – Clean the new jewelry and piercing area with saline solution.

Difference Between Septum and Nose Piercing

FeatureSeptum PiercingNose Piercing
PlacementIn the thin cartilage between the nostrilsOn one or both sides of the nostril
Healing Time6 to 8 weeks (sometimes longer)2 to 4 months
Pain LevelModerate (depends on individual pain tolerance)Mild to moderate
Jewelry OptionsCircular barbells, rings, clickersStuds, hoops, rings, L-shaped pins
Cultural SignificanceWorn in many tribal and cultural traditionsPopular in South Asian, Middle Eastern, and Western cultures
VisibilityCan be hidden by flipping the jewelry insideAlways visible unless removed
AftercareClean with saline solution, avoid flipping too muchClean with saline, avoid unnecessary touching
FlexibilityCan be hidden for work or formal settingsCannot be easily hidden
Trend FactorConsidered edgy and uniqueClassic and widely accepted

How to Clean Septum Piercing

Cleaning a septum piercing properly is important to avoid infection and speed up healing. Always wash your hands with soap and water before touching your piercing to prevent bacteria from spreading. Use a saline solution or a homemade mixture of warm water and sea salt to clean the area. Follow these simple steps to keep your septum piercing clean:

  • Wash your hands thoroughly with soap and water before touching your piercing.
  • Prepare a saline solution by mixing 1/4 teaspoon of sea salt with 1 cup of warm water.
  • Dip a cotton ball or pad into the solution and gently dab around the piercing to remove buildup.
  • Soak the piercing by dipping your nose into a small cup of saline solution for a few minutes.
  • Rinse with clean water to remove any remaining salt or debris.
  • Pat dry gently using a clean, disposable paper towel (avoid cloth towels as they can hold bacteria).
  • Repeat twice a day, preferably in the morning and before bed, for proper healing.

Avoid using harsh chemicals like alcohol or hydrogen peroxide, as they can irritate the skin and delay healing. Do not move or twist the jewelry unnecessarily, as this can cause irritation. With regular care and patience, your septum piercing will heal properly, allowing you to enjoy it without any issues.

Frequently Asked Questions About Septum Piercings

1. Do Septum Piercings Close?

Yes, septum piercings can close, but the speed depends on how long you’ve had them. If it’s a fresh piercing, it may close within hours or days, while a well-healed one might take months or even years. However, some people retain a permanent hole if worn for a long time.

2. How to Fix Crooked Septum Piercing at Home?

Fixing a crooked septum piercing at home is not recommended, as it can lead to complications. If your piercing appears uneven, it might be due to swelling, improper placement, or healing issues. The best option is to consult a professional piercer who can assess and guide you on corrective measures.

3. Where to Pierce Septum?

The septum should be pierced in the “sweet spot,” which is the thin, soft area between the cartilage and the bottom of the nose. A skilled piercer will locate this area to ensure minimal pain and proper healing. Piercing through the cartilage can be more painful and difficult to heal.

4. How to Hide a Septum Piercing?

You can hide a septum piercing by flipping the jewelry upwards into your nostrils if you have a horseshoe ring. Clear or flesh-colored retainers are another discreet option. If your piercing is fresh, avoid removing it too soon, as it may close quickly.

5. How to Take Out a Septum Piercing?

To remove a septum piercing, wash your hands thoroughly and gently twist open the jewelry. If it’s a ball closure ring, carefully pop out the ball before sliding it out. If you’re struggling, visit a piercer for safe removal, especially if it’s a tight or stubborn piece.

6. Will My Septum Piercing Close After 2 Years?

If your septum piercing has been fully healed for two years, it may not close completely but can shrink. Some people retain a small hole indefinitely, while others may experience full closure over time. Keeping jewelry in occasionally can help maintain the piercing.

7. What Is the Standard Size of a Septum Piercing?

The standard size for a septum piercing is typically 16 gauge (1.2mm) or 14 gauge (1.6mm). However, some people opt for different sizes depending on their anatomy and personal preference. If you plan to stretch your piercing, starting with a slightly larger gauge may be beneficial.

8. Should I Get a Septum Piercing?

Whether you should get a septum piercing depends on your style, pain tolerance, and commitment to aftercare. Septum piercings are versatile, easy to hide, and generally heal well. However, if you have frequent nose issues or dislike the idea of maintaining a piercing, consider your decision carefully.

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