Some celebrities have dealt with damage to their nasal septums due to cocaine use. In November 2025, the daughter of the late Michael Jackson, Paris Jackson, revealed that her nose was damaged from drugs. "I realized I never addressed this and it can be sometimes very noticeable," Paris explained in a social media video that was reshared via TikTok. "I have a really loud whistle because you can hear it when I breathe through my nose, and that is because I have what is called a perforated septum.