Sure you need to remove it and start again. Septum piercings areone of the most challenging technical piercings out there, it takes time and patience to get them right and the piercer can't rush through the piercing, if they rush they screw up, it's that simple. Placement is very important, trying to get them level on three plains is not as easy as people think, not all noses are created equally and readjusting and squaring things up takes time. I would suggest if the piercing is new wearing a straight barbell running through the piercing and resting on the left and right nostril flares will cause the piercing to straighten out however this needs to be done until it is healed. If the piercing is still out of whack then consider a different style of jewellery that will not draw attention to the mistake, but ultimately it may need to be done again.
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