Nasal septal button prostheses are useful alternatives to surgical management of symptomatic nasal septal perforations. The new modified button appears to be superior to the conventional button in several ways. It can be trimmed or ordered with larger or asymmetric disks if needed. The two new features of this button are (1) its flexible hub, giving it plasticity and adaptability; and (2) the tapered dome or umbrella-shaped, flexible disks, which allow for greater conformity to the septum.