Carolina Facial Plastic Surgery

Nasal Obstruction Surgery

The single most important function of your nose is breathing.  If breathing through the nose is obstructive, it can have a significant negative impact on one’s quality of life.  The excess work the body has to exert to breathe through a narrowed passage way in the nose can cause fatigue, loss of energy, snoring, poor quality of sleep, limited exercise tolerance, and create an overall negative impact on your health. Due to these effects, surgery to improve breathing through the nose can have long lasting positive outcomes on the patient’s lifestyle and health.

As an expert nasal surgeon with a special training in facial plastics, Dr. Kulbersh understands all aspects of the nose including the anatomy and its physiology.

What Causes Nasal Obstruction?

There are many structures in the nose that may contribute to nasal obstruction and each can be treated to make breathing easier. Causes of the condition include but are not limited to:

  • Deviated septum
  • Collapsing nose
  • Narrow valves in the nose
  • Bony spurs inside the nose
  • Nasal septal perforation
  • Turbinate hypertrophy
  • Allergies
  • Chronic sinusitis

Procedures Used to Correct Nasal Obstruction


The septum separates the right and left nasal passageway.  It is composed of cartilage and bone.  If the septum is off to one side,which is called septal deviation, or has an area that is sticking out, a septal spur, it can narrow the airway. During a septoplasty, all of the incisions are made inside of the nose.  The portion of the septum that is causing the obstruction is removed. A septoplasty will not change the appearance of the nose.

There are some deviations of the septum that require advanced techniques to correct.  This is commonly at the location in the front and bottom part of the nose.  Many times in this location, the doctor will use a flexible but strong absorbable plate, a PDS plate, to straighten the septum.  The plate stays in place long enough to allow the septum to heal in a straight position.

Reverse Rhinoplasty

It is common during an initial rhinoplasty for cartilage and bone to be removed from the nose to make it smaller.  If the nose is not strengthened at the same time, the nose can collapse many years later.  A collapsed nose can cause nasal obstruction.  In this situation, a “reverse rhinoplasty” has to be performed to rebuild the nose.  It is reverse in the manner that cartilage has to be added to the nose to open the airway and support the nose.  In essence, many parts of the initial surgery are reversed.

Watch Dr. Kulbersh Discuss the Four Best Procedures to Enhance Nasal Breathing

Nasal Obstruction Surgery FAQs

Q: Can septoplasty or functional nasal surgery be combined with cosmetic rhinoplasty?

A: Absolutely. Combining septoplasty with rhinoplasty is beneficial because cartilage modified from the nasal septum during the septoplasty may be used for grafts during the procedure. This is also a good combination of procedures because it improves breathing and appearance of the nose while only requiring one recovery period.

Q: What is revision septoplasty?

A: Some patients may have persistent nasal and sinus symptoms after deviated septum surgery, including untreated allergies, re-growth or re-swelling turbinates, recurrent polyps, chronic infection, and trauma, which may result in the need for a revision surgery. Dr. Kulbersh has been able to successfully resolve recurrent nasal issues for my patients through surgical and non-surgical means. The best way to see if additional surgery is needed is by calling our office to schedule an initial consultation.

Q: What can be used for nasal valve repair if there is no cartilage left in my nose?

A: Nasal valve repair requires cartilage for structural support of the nose. If there is no cartilage left inside the nasal septum, ear cartilage, or rib cartilage may be used.

Fore more questions about nasal obstruction surgery in Charlotte, please visit our FAQ page.

Learn More About Nasal Obstruction Surgery

If you are experiencing difficulty breathing and believe it is due to nasal obstruction, please contact the office, Carolina Facial Plastics, at 704.323.5090 to schedule your initial consultation. At this time, Dr. Kulbersh will be able to develop a unique treatment plan and assess your each and every need, bringing desired results and improved breathing.

For additional information about nasal obstruction surgery in Charlotte, please contact the office today.

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Surgeon in Beverly Hills

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