What is Cocaine Nose? & How to Spot it

What is Cocaine Nose & How to Spot it

Updated March 5, 2025

Authored By:

Joe Gilmore

Edited By

Amy Leifeste

Medically Reviewed By

Javier Rodriguez-Winter

An image of Karena Mathis, author for gratitude lodge
Authored By:

Karena Mathis

Edited By

Amy Leifeste

Medically Reviewed By

Javier Rodriguez-Winter

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What is Cocaine Nose & How to Spot it

What is Cocaine Nose? & How to Spot it

Cocaine nose, also known as coke nose, is an informal term for the damage inflicted on the nasal passages by cocaine abuse. Cocaine nose can trigger symptoms like congestion and nosebleeds, alongside potentially severe deformities. That said, this phenomenon primarily affects those who engage in long-term, excessive cocaine use.

While cocaine addiction [1] is characterized as a chronic and relapsing condition, it is nevertheless treatable. With the appropriate interventions and support, people struggling with stimulant abuse can achieve successful outcomes and sustained recovery. Read on to learn more about the following issues:

  • What is coke nose?
  • How to fix “a hole in the nose from coke.”
  • How to heal a hole in the nose caused by coke and engage with cocaine addiction treatment in southern California.

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What Does Coke Do to Your Nose?

What is “cocaine nose?” And what does coke do to your nose?

Cocaine use can have severe effects [4] on the nasal passages and the nose itself, leading to various health issues and potential long-term damage. Some of the consequences of cocaine use on the nose include:

  • Nasal damage: Prolonged cocaine use can cause significant damage to the nasal passages, leading to symptoms such as swelling, chronic inflammation, blockages, and congestion.
  • Inflammation and congestion: Cocaine’s impact on the nasal lining can result in inflammation and chronic congestion, leading to discomfort and breathing difficulties.
  • Sensory loss: Nasal damage from cocaine use can result in the loss of sensation in the nasal tissue and cavities, impacting the ability to perceive smells and other sensory stimuli.
  • Long-term effects: Prolonged use of cocaine can lead to more severe nose damage, persistent pain, and potential disfigurement, which may even require surgical intervention.

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Nose Damage from Cocaine

Snorting cocaine irritates the nose, leading to dryness and/or nasal congestion. Chronic coke use can cause severe complications. These may include:

Cocaine nose bleeds

Sustained use increases the risk of frequent nosebleeds from coke. A nosebleed from coke use occurs when the nasal lining is damaged by cocaine abuse.

Cocaine nose scabs

Nosebleeds from cocaine use can lead to scab formation, causing discomfort and obstructed breathing.

Cocaine nose holes (nasal perforation)

A coke nose hole [2] may appear as a result of severe and chronic cocaine abuse. A hole in the nose from coke may result from restricted blood vessels that can lead to septal perforation, causing tissue death and holes in the septum.

Deviated nasal septum

Cocaine use can result in a deviated septum, leading to airflow restrictions, impaired nasal function, and nasal septum deformation. With a deviated septum, cocaine use becomes even more likely to cause nasal and overall health issues.

Saddle nose deformity

Saddle nose deformity occurs when the nasal bridge collapses due to prolonged cocaine abuse, leading to a distinctive saddle-shaped appearance.

Hard palate damage

Blood supply restrictions can lead to hard palate damage, causing complications with eating, speaking, and breathing.

Cocaine sinus infections

Reduced blood flow weakens the immune system, increasing the risk of severe sinus infections and potential sepsis.

Other long-term effects

Chronic cocaine use can also lead to pain, foul odors, loss of smell, lung infections, snoring, nasal blockages, and dryness in the nose.

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Is There a Way to Fix Nose Damage from Cocaine?

The key to beginning the healing process for cocaine-induced nose damage is to stop using cocaine. Continuing to use the drug while attempting to heal the nose is counterproductive and can impede any progress. Without discontinuing cocaine use, the nose cannot properly initiate the healing process.

While minor damage to the nose may resolve on its own, more serious nasal complications resulting from prolonged cocaine use may require specialized treatment. Complex nose deformities, for instance, might require reconstructive plastic surgery to restore both the natural appearance and functionality of the nose. Seeking appropriate medical treatment and assistance for your nose after cocaine damage is essential in addressing the long-term effects of cocaine on the nasal structures.

Receiving professional help for cocaine addiction greatly simplifies both achieving recovery and maintaining it. If you’re worried about where to startGratitude Lodge in Southern California can help!

Get Treatment for Cocaine Addiction at Gratitude Lodge

At Gratitude Lodge in Long Beach and Newport Beach, our comprehensive treatment approach is designed to address cocaine addiction and co-occurring mental health concerns. With a focus on holistic well-being, our pet-friendly rehab centers provide a supportive environment for your recovery journey.

Our specialized treatment programs for cocaine and drug abuse feature a range of evidence-based interventions tailored to your unique needs. These include:

  • Medically supervised detoxification for a safe and comfortable withdrawal process.
  • Individualized MAT (medication-assisted treatment) plans to streamline the detox process.
  • Psychotherapy sessions to address underlying psychological factors contributing to addiction.
  • Group therapy for peer support and shared experiences in a supportive community.
  • One-on-one counseling to develop coping strategies and foster personal growth.
  • Family therapy to mend relationships and promote a healthy support system.
  • Holistic therapies such as mindfulness practices, yoga, and art therapy to promote overall well-being.
  • Comprehensive aftercare planning to ensure a smooth transition into a sober lifestyle following treatment.

When you are ready to address cocaine addiction and coke nose, call 844-576-0144 to begin a healthier and more fulfilling life today!

Sources

[1] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851032/

[2] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2689536/

[3] https://www.narconon.org/blog/new-research-finds-cocaine-use-can-cause-permanent-damage-to-the-nose.html

[4] https://pubmed.ncbi.nlm.nih.gov/2909232/

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Jenni Bussi

Jenni Busse MS, LPCC

Jenni Busse MS, LPSS is the Clinical Director at Gratitude Lodge. Jenni oversees the clinical program and the clinical team at Gratitude Lodge as a whole. Jenni has worked in treatment for almost 14 years. Her background as a licensed therapist and her passion for helping others intersected with addiction recovery when she started working primarily in detox residential treatment.
Joe Gilmore

Joseph Gilmore

Joseph Gilmore has been working in the addiction industry for half a decade and has been writing about addiction and substance abuse treatment during that time. He has experience working for facilities all across the country. Connect with Joe on LinkedIn.

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