Paris Jackson, the actress and singer, has recently reflected on a troubling period during her battle with addiction, notably the moment she discovered she had caused a significant injury to her nasal septum. In an episode of the podcast “On Purpose with Jay Shetty,” which aired on August 17, 2026, Jackson candidly discussed the incident and its implications on her health and lifestyle.
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The 28-year-old filmmaker first revealed the details of her “perforated septum” in November 2025, acknowledging that the injury was a direct result of her substance misuse. “I blew a hole through my nose, which is public knowledge,” Jackson remarked during the podcast, adding that the condition had altered her breathing, producing a whistling sound. “It’s not deviated, it’s perforated, so I whistle,” she explained, highlighting the gravity of her situation.
Jackson recounted the chaos that ensued following the incident, sharing her shock when she discovered the injury. “There’s blood everywhere. I looked in my, you know, mirror, and I saw it,” she stated, revealing her immediate panic as she examined the damage. Her doctor, upon assessing her condition, quickly identified the cause of the injury, stating that such damage typically results from the snorting of drugs like cocaine or ketamine.
The medical advice she received was sobering. Her doctor informed her that while the damage could potentially be rectified, it would be futile if she continued her substance use. “There’s only so many reconstructive surgeries we can do, so if you’re not done [doing drugs], I wouldn’t bother yet,” she recalled him saying. At that moment, Jackson indicated that she was not ready to abandon her drug use, a reflection of her struggles at the time.
This daunting episode highlights the broader issues surrounding addiction and the severe repercussions it can have on individuals’ health. Jackson first spoke publicly about her perforated septum in a TikTok video in November 2025, where she also shared a light-hearted moment, saying, “I have a really loud whistle when I breathe through my nose.” However, she emphasised the serious implications of drug use, advising her followers with, “Don’t do drugs, kids,” acknowledging the profound impact addiction had on her life.
Living with the condition since she was 20, Jackson has since taken significant steps toward recovery, having been sober for six years. Interestingly, she has decided against pursuing surgical correction for her septum, citing the risks associated with surgery and the necessity of medication post-operation, which she is keen to avoid at this stage in her life.
In a more humorous vein, Jackson noted the bizarre ability to thread a spaghetti noodle through the hole in her septum, showcasing her ability to find levity even in difficult circumstances. However, this light-heartedness underscores a serious message regarding the consequences of substance abuse, a theme that has been prevalent in Jackson’s journey.
As Jackson continues to share her story and raise awareness surrounding addiction, it serves as a reminder for those who may be struggling with similar issues. If you or someone you know is facing challenges with substance abuse, it is crucial to seek help. Resources such as the SAMHSA helpline are available for those in need, offering support to navigate the complexity of addiction and recovery.
In her ongoing efforts to advocate for sobriety and share her experiences, Paris Jackson remains an important voice in the conversation about addiction’s impact on individuals and their families. Her story not only chronicles her personal journey but also serves as a beacon of hope for others seeking to overcome their struggles with substance misuse.