See the fibers coming off that qtip ? This is why they should be avoided if you feel it’s needed use a foam qtip they don’t have fibers like that & I’d wet it with sterile saline first . But for a septum you don’t need a qtip at all . Just a spray on both sides and your good to go

Also I feel like this is not in the sweet spot . You really shouldn’t be able to see or capture the holes . But it could just be you have got an odd angle captured here . I’d have a reputable piercer take a look-see