Paris Jackson Reveals Perforated Septum From Past Drug Use On TikTok

By Thomas Hernandez 11/12/2025

Paris Jackson is opening up about the long-term health impact of her past drug use, sharing a candid update with fans and pairing it with a clear message: don’t do drugs.

Paris Jackson Candidly Details Health Impact On TikTok

In a TikTok posted on November 10, the 27-year-old singer, actress, and model revealed she has a perforated septum — damage inside the nose that she says stems from drug use. Holding her phone’s light to her face, Jackson demonstrated how the condition affects her breathing, telling viewers, “I have a really loud whistle when I breathe through my nose. And that is because I have what is called a perforated septum,” noting that it’s “slightly different from a deviated septum.”

She didn’t mince words about the cause. “That is from what you think it’s from,” Jackson added, pointing directly into the camera before delivering a blunt reminder: “Don’t do drugs, kids.”

Appearing bare-faced and speaking directly to viewers, Jackson reflected on the ramifications of her past choices. While she kept the focus on the present, she made clear the toll substance use took on her life and career. The personal disclosure underscored how far she’s come — and why she’s careful about the decisions she makes now.

Why She’s Choosing Not To Have Surgery

Despite the ongoing symptoms, Jackson said she doesn’t plan to undergo surgery to repair the perforation. She explained that she has been sober for six years and is cautious about the medications that can accompany a surgical procedure. For her, that risk isn’t worth it.

Jackson also shared that she’s lived with the condition since she was 20, and she even joked about the ways it has affected her day-to-day life and work. The whistle can complicate studio sessions, she said with a laugh, quipping that the hole is large enough to thread a spaghetti noodle through. The humor softened the edges of a difficult subject, but the message remained serious: her experience is a cautionary tale.

Along the way, Jackson pointed out the distinction between a perforated septum and a deviated septum — a helpful clarification for fans who might conflate the two. The latter typically refers to a misalignment of the wall between the nostrils; a perforation is an actual hole in that wall. Jackson’s point wasn’t clinical, but practical: she wanted viewers to understand what they were seeing and why it matters.

Sobriety, Recovery, And Paying It Forward

Jackson’s TikTok arrives just weeks after she spoke publicly about sobriety at the 35th annual Friendly House Awards Luncheon in Los Angeles on October 11. Reflecting on the turning point of getting clean, she told the crowd, “I didn’t just get my life back. I got a better one.”

She compared early recovery to a sudden collision, describing the emotional reckoning that followed. “I feel like getting sober was kind of like getting into a car accident because everything I shoved in the back seat moved forward on impact, and today I’m learning to navigate life on life’s terms.” The metaphor captured both the shock of change and the work of rebuilding.

Jackson also spoke about service and support — pillars of recovery she says have reshaped her life. “I’m really grateful to be a part of a movement that aligns so much with my higher purpose and the essence of my daily reprieve. Getting someone to develop conscious contact has easily been the greatest action I’ve ever taken, and I pray that I can continue to help others.”

That willingness to share, whether in a formal speech or a candid social post, reflects a broader transparency Jackson has embraced in recent years. It’s a perspective that resonates across Hollywood, where stars have increasingly demystified recovery and talked openly about the realities — the setbacks, the choices, and the ongoing commitment to staying healthy.

Honesty That Resonates With Fans

Jackson’s TikTok is intimate and pragmatic: she shows the issue, explains it in plain terms, and anchors it with a direct warning. The approach mirrors her public comments about sobriety — unvarnished but hopeful, rooted in personal experience rather than platitudes. For followers, it’s a reminder that celebrity doesn’t insulate anyone from consequences, and that the work of recovery can be both deeply personal and outwardly impactful.

As a performer, Jackson acknowledges the everyday ripple effects of her condition — from breathing quirks that complicate recording to the balancing act of protecting her sobriety. The decision to skip surgery isn’t about resignation; it’s about priorities and boundaries that support a healthier life.

By spotlighting the difference between what’s easily hidden and what’s worth discussing, Jackson adds another chapter to a growing conversation around health and accountability in the entertainment industry. Her message is straightforward but powerful: learn from her experience, and seek help if you need it.

If you or someone you know is struggling with substance abuse, contact the SAMHSA National Helpline at 1-800-662-HELP (4357) for confidential support and resources.

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