Dr. Jason S. Hamilton

Septal Perforation Treatment Specialist

Septal Perforation Surgeon

Dr. Jason S. Hamilton, M.D. FACS, Director of Facial Plastic and Reconstructive Surgery at the Osborne Head and Neck Institute is double board-certified in facial plastic surgery and otolaryngology / head & neck surgery. Dr. Hamilton specializes in surgical septal perforation treatment and repair. He has pioneered new methods and equipment designed specifically for treating patients with septal perforations and has achieved one of the highest success rates at 99% for large and small septal perforations.

Dr. Hamilton’s unique technique has allowed him to consistently achieve superior results for his patients time and time again. He has one of the highest success rates in the world for the closure of septal perforations and as such draws a diverse group of patients from across the globe. Dr. Hamilton practices in Los Angeles, California, at the Osborne Head & Neck Institute, Cedars Sinai Medical Towers. In an effort to educate patients about options for septal perforation treatment, Dr. Hamilton holds quarterly patient conferences for surgical candidates suffering from septal perforations in New York, Chicago, Orlando, and Texas.

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Featured Case Videos

Julie, an inspiring singer/songwriter from Las Vegas has a septal perforation caused by a trauma from child abuse. She seeks the help of specialist, Dr. Jason Hamilton to repair the hole in her septum so she can finally close that chapter of her life.

HHT is a hereditary condition that causes fragile malformed blood vessels. After many trips to the emergency room to cauterize and stop nose bleeds, David is left with a large hole in his septum that must be fixed.

Before & After Treatment

Dr. Hamilton has developed a method for surgical repair of septal perforations with a success rate over 99% for small and large septum perforations.

Patient Reviews

“I’m so grateful that Dr. Hamilton took the time to speak to me when I was so lost as to what to do with my nose. Dr. Hamilton was patient, kind, well informed, and explained everything well enough to make me feel at ease. I flew from NYC not knowing what to expect but trusting that God was leading me into the right hands.

Today I sit here with splints removed, excited and relieved with my nose. What a miracle to see God use doctors like Dr. Hamilton to bring a smile to peoples faces. Thank you to everyone at Osborne Head & Neck for everything. You guys rock!!!”

New York, NY

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Frequently Asked Questions

Q: What is a Septal Perforation?

A: The septum is the central divider within the nasal passage responsible for even airflow through the nose. A septal perforation is a hole in the nasal septum, typically caused by an injury to the delicate mucosal lining of the nose. It is made up of very thin cartilage and bone and covered by a delicate mucosal membrane. Septal perforations occur most commonly from an insult to the septal mucosa, which supplies blood, oxygen, and vital nutrients to the underlying cartilage. After a significant injury to the blood supply of the septum the cartilage dies and leaves a hole. As the whole increases in size symptoms begin and increase in severity. The most common injuries causing septal perforations are nasal fractures and trauma, prior nasal surgery and abuse of nasal medication or illicit drug abuse.

Septal Perforation Facts

Q: How Is A Septal Perforation Diagnosed?

A:  Dr. Hamilton can diagnosis your septal perforation by a routine nasal exam and/or nasal endoscopy. Many patients also make self-diagnoses at home or are referred by another physician for treatment. After the perforation is diagnosed, it is then important to determine the health of the remaining septal mucosa and discover the cause of the septal perforation. Knowing the true etiology of the septal perforation is paramount to effective septal perforation treatment planning by Dr. Hamilton. To have a successful treatment we must know the cause of the septal perforation to prevent further recurrence after surgery. This is especially true for patients with undiagnosed autoimmune disorders, HHT, patients with compulsive behavioral habits (i.e. nose picking) and those with a history of medication or illicit drug use. The most important thing to keep in mind after being diagnosed with a septal perforation is that advanced treatment is available, but only through a septal perforation specialist, such as Dr. Hamilton. Remember, mismanagement is common, and includes; being told that there is nothing that can be done, advice to watch and wait for a spontaneous closer, and treatment of smaller perforations with a septal button, which instead could be simply closed by Dr. Hamilton. Patients seek out Dr. Hamilton for advanced treatment options for their septal perforation treatment needs.

Septal Perforation Diagnosis & Treatment

Q: When Should I Seek Treatment For Septal Perforation?

A:  Complications are Associated with Septal Perforations
The nasal septum stabilizes the nose much like a foundation supports and stabilizes a home or a skyscraper. Without a strong foundation the nose may collapse and change shape. This collapse most commonly occurs in the middle region of the nose (cartilage at the middle of the nose called the middle vault) leading to structural weakening in that region. The middle nasal vault is destabilized and the nose collapses leaving a fixed saddle nose deformity. Other symptoms include; nasal obstruction, nasal valve collapse, infection, chronic congestion, and nasal pain. If you are experiencing any of these symptoms you should be evaluated by Dr. Hamilton as soon as possible.

Signs and Complications of a Septal Perforation

Q: Choosing a Surgeon. How Do I Find A Septal Perforation Specialist?

A:  Why is Dr. Hamilton’s success rate so high compared to others?
Septal perforation surgery is not regularly performed by many ENTs, plastic surgeons or cosmetic surgeons. Experience with septorhinoplasty does not make one qualified to repair septal perforations. Septal perforation repair is a much more technically complex procedure to master. The only physicians truly qualified to perform septal perforation repair are those who have dedicated there practice to the management of septal perforations such as Dr. Hamilton. Dr. Hamilton’s high success rate is rooted in his dedication to managing this complex conditions. He manages approximately 5-7 cases per week operating every 4-5 days per week. His unique ability to perform septal perforation surgery via several different approaches (developed specifically at the Osborne Head & Neck Institute) instead of a one-size-fits-all approach sets him apart and has allowed him to have a near perfect treatment record for patients suffering with small and large perforations.

Choosing the Right Surgeon

Research & Publications

Dr. Hamilton is dedicated  to clinical research and outcomes evaluation for patients suffering with septal perforations. As a dedicated scientists he has over 54 book chapters and peer-reviewed journal articles published in the medical literature. Many of his research papers have focused on the diagnosis and management of otolaryngologic disease including the reconstruction of facial defects caused by head and neck surgical procedures. Dr. Hamilton continues to actively investigate and develop advanced procedures for the treatment of septal perforations.

Septal Perforation Patient Guide


septal perforation treatment

What is a septal perforation?

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Causes & Symptoms

septal perforation diagnosis

What causes a septal perforation?

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Diagnosis & Complications

perforation diagnosis

How is a perforation diagnosed?

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Nasal Deformity & Saddle Nose

nasal collapse saddle nose

Can the nose collapse?

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Nasal Deformity & Cocaine Use

cocaine nose deformity

How can cocaine deform the nose?

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Septal Perforation Treatment

perforation treatment

How is a perforation treated?

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Virtual Consultations

Osborne Head and Neck Institute has been at the forefront of telemedicine for many years. All you need to start is a cell phone or a computer to get started. Please contact our office to schedule a new appointment or convert your scheduled office appointment to a quick and easy video/phone consultation.

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