This is an adaptation of the nostril and septum going straight through the nose side to side much like the penis piercing the Ampalang. It is a more extreme piercing and has never taken off due to the difficulty in doing it and healing it. In the late 1990s and early 2000s, this was experimented with by piercing enthusiasts. In 2019, it is not a common piercing. People are more likely to get double nostril nose piercings and a septum rather than the Nasalang.