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The septum is the cartilaginous dividing wall between the nostrils. Generally, the cartilage itself is not pierced, but rather the small gap between the cartilage and the bottom of the nose (sometimes called the “sweet spot”), typically at 14ga (1.6mm) although it is often stretched to a larger gauge (size). The nose has many nerves running through it, and as a result, nose piercings can be painful, although the pain varies by individual. This piercing heals within a month and a half to three months also depending on the individual. It should only be stretched by 1mm at a time, and waiting at least a month between stretches is advisable. If a certain point is exceeded, usually about 8mm, the cartilage gets forced towards the top of the nose, which can be uncomfortable.
Many types of jewelry generally are worn in a septum piercing, such as: Captive bead rings (CBRs), rings that close with a bead held in the center by the tension of the ring, circular barbells (as shown in the picture), a circular bar with a bead that screws onto either end, a “tusk” that is a straight or shaped piece of material generally tapered on either end, or pinchers. For large gauge septums, many individuals choose to wear plugs, as the plugs do not weigh their noses down, which is helpful in healing. This measure allows the piercing not to be damaged by the sudden movement of the jewelry.