Allergy Control in New Territory

Almost eighteen years of my life have passed and now it’s only weeks away… College! How exciting? I’ve been waiting all my life for it: from the first day of Kindergarten, I knew I was destined for greatness. Well, then it was more a Captain Underpants standing on your bed to feel mighty in your tighty whiteys kind of greatness, but now it’s a making connections and building new relationships kind of greatness. Having a new, fresh start has never been something to intimidate me. I see it as a welcoming challenge, an inviting escapade. That all seems great. But wait a minute. I don’t know anyone there, or anything there. I need to be prepared and feel prepared for the experience, and with that comes knowing my strengths and more importantly knowing my weaknesses. What would happen if I were walking to class and all the sudden I felt congested and tight? What if I got so sick I couldn’t even get out of bed to hit the free food buffet? Where would I go? The school infirmary? Well that’s good, if I knew where it was. The allergist in the area? Sure, if I had all the paperwork on hand. I know I like to talk about allergies and allergy control a lot, but its so important to know not only what they are but how to handle them, too.  Sublingual Allergy Drops for Allergy Control

Dealing With an Allergy Sufferer

I’ve always been the one with allergies, though; never the one at the table who sat and watched, clueless, as someone tightened up and clenched their eyes as they filled with tears. And what will that be like next year for those allergy sufferers? Is that the way you want to start your life as a college student? Well, I don’t know, but I’d say probably not.
So I wanted to get the perspective from a very dear associate of mine, Lindsay Siegel, to have a better understanding of what it’s like to have witnessed an allergy sufferer first hand and what it’s like to deal with one at any point in the day.

Lindsay discusses the first time she really noticed how bad my allergies really were, how spontaneous and bothersome (and sometimes even obnoxiously stressful) they can be, the burden they posed, and how I went about treating them (I’ll give you a hint: sublingual allergy drops).

Sublingual Allergy Drops and Allergy Control

Seeing an allergist or sinus doctor before going into new and unknown territory is a good idea so you can control your body and your symptoms. It’s never too late to start on sublingual allergy drops because they help with the long term goal of building immunity to common allergens, and it’s definitely worth it. You don’t want to be the one who has to make the half hour trip off the slopes and back to the hotel room to pop a pill or two. Master allergy control, for the sake of your loved ones. If you have any questions about allergy control or sublingual allergy drops, or even allergies in general, feel free to contact us below!

– Jake Nachlas

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Jake Nachlas, Summer Intern to Nathan E. Nachlas, MD

It’s Sunday afternoon, and you’re at the beach with your family. Or maybe you’re at the golf course enjoying a round of 18. It’s hot, so you keep reapplying sunscreen, at least I hope! You’re lying there, listening to music, feeling the breeze from the ocean hit your face, dipping your toes into the hot summer sand and watching the waves crash one after one after one after one. You can smell the salt from the ocean and the freshness of the air. Or maybe you’re on Hole 9, three below par, and the scent of the grass and the view of a cloudless sky over the green overwhelm your fear of the Par 5 ahead of you, of making one bad drive. You tee up, take a few practice swings, pull the driver back, looking down at the ball trying not to comprehend the breadth of the fairway. Then you swing, the club strikes th—ACHOOOO! 

Oh no. The ball goes way off to the side, too far to count at least. You watch it curve to the right, landing in the trees from the top, bouncing off the branches to the bottom. You’re upset, but you’ll walk it off. You go back to the cart and begin your search for that little white ball of misery. As you drive by a few trees, your eye catches a beautiful litt—ACHOOO!

You stop the cart and try to shake your head back into it. But when you do, you feel light headed. You feel your eyelids soak up, eyes tearing, air running through your nose becomes inhibited. You’re at the point where it’s easier to keep your eyes closed than to fight for them to open. The view of the sky, gone. The smell of the grass, gone. The music on the beach loses its rhythm, all just big thumps now. One after one after one after one. The smell of salt in the ocean turns into heat, more heat beating on your face and the water in your eyelids quickly dries out. Your eyes become crus–ACHOOO! 

Mastering the Art of Allergy Control

If you’re like me, you knew from the first sneeze that the worst was yet to come. If you’re like me, being out on the golf course or being at the beach instantly become imprisonment when you can’t breathe well. If you’re like me, you want to breathe better, it’s as simple as that. I hate being the one at the party or the one at the beach or the one at the golf course who suddenly can’t breathe and needs all the attention. No, the golf course is a place to free your mind, the beach is a place to forget about everything and let the breeze free your mind for you. If you’re like me, then you’ve come to the right place. If you don’t want to be a prisoner of breathing problems and want to master decongestion and allergy control, then read these few tips carefully. And in honor of the Rio Olympics just around the corner, here are some ways to help you breathe like a champion! 

Patient Receives Pills from Sinus Doctor for Allergy ControlBronze Medal: Over the Counter Decongestants 

Decongestant pills are an approved, over-the-counter way to relieve congestion and nasal blockage or stuffiness. It’s sort of like having a panic button wherever you are, just to be safe. For me, it usually takes thirty minutes to an hour to feel noticeably relieved, but it may be different for others depending on the dosage. Decongestants 1) decrease the volume of blood in mucosa which leads to decongestion and 2) reduce blood flow into the mucosa which decreases the fluid associated with congestion.  While they do provide quick relief to nasal blockage or stuffiness, their effects are short acting, they may cause a rise in blood pressure, and because of that I deem these over the counter pills worthy of a Bronze Medal.

Decongestant sprays also have their significant drawbacks.  Their instant gratification attract many with allergies, but their addictive effect makes them very undesirable for anything other than very short term use.

Silver Medal: Nasal Saline Spray

Nasal Saline Spray is almost as effective as over-the-counter decongestants, and can be used long term without serious side effects. The saline solution flushes out the mucus, allowing you to breathe a little better.. In chronic sinusitis, they help make up for the lack of motility of the hairs on the cells of the lining of the nose.  They are a useful adjunct to other allergy treatments. Because of this, I give Nasal Saline Spray the Silver Medal.  

Gold Medal: Antihistamine nose sprays, steroid nose sprays, and antihistamines

There’s actually room at the top of the podium for all three.  The last two, the steroid nose sprays and the antihistamines have the clear advantage of now being over the counter, which make their availability excellent.  The antihistamine nose sprays, while not yet over the counter, often are used in conjunction with the other two.

These sprays all help to reduce the damage that allergies do to the tissues of the body.  They reduce the inflammation caused by histamine release, and help counteract the bothersome swelling in the nose which result from allergies.

Patient Receives Sublingual Allergy Drops from Sinus Doctor for Allergy ControlAfter the Olympics – Getting those Allergies under Control:  Allergy Testing, Sublingual Allergy Drops and Allergy Shots

Ongoing allergy symptoms can be quite bothersome.  While medications, either alone or in combination, can temporarily provide some relief, ultimately they are there to mitigate the damage that the allergies have caused.  Getting at the core of the issue involves making a person less susceptible to allergies – turning off the body’s response to specific allergic stimuli.   This is done by fortifying the immune system so that it no longer is as reactive to stimuli.

Allergy Testing and Immunotherapy (either allergy shots or sublingual allergy drops)  are a really effective way of relieving allergies and breathing better in the long term. Taking sublingual allergy drops,  more commonly known as SLIT (Sublingual Immunotherapy), is just as it sounds: a few drops under the tongue every day to build immunity to your wooorsstt nightmares!!! (allergies). They are an alternative to allergy shots, essentially using the same allergens to build up the recipient’s immune system.  Before beginning immunotherapy, you need to first undergo  allergy testing.  Now I’m only a month into taking my drops but I’m already feeling a little better around common allergens, simply because I’ve built immunity to them. My body has become better at fighting them off. Not only do I have the drops but I also have the knowledge of what I’m allergic to, so when I’m out there on the golf course, I know it’s the grass that really got me going. Or when I’m on the beach, I know the mold or the beach grass or the firewood from the barbecue set me off. 

Just one last word – Balloon Sinuplasty

One current confusion that many have is that Balloon Sinuplasty is another treatment for allergies.  It’s not.  It is a wonderful and popular procedure for relieving suffering in patients with blocked sinuses.  Allergies, because they cause swelling in the affected tissues, can cause severe nasal and sinus symptoms – congestion, obstruction, headache, drainage, etc.  Sometimes the medications cannot provide the desired relief.  Sinus infections result from the mucous not being able to drain properly, thereby getting infected.

Balloon sinuplasty involves guiding a small balloon into the blocked areas of the sinuses, inflating it, deflating it, and removing it.  The good news is that by relieving the blockage, the symptoms usually resolve.  The bad news is that the allergies are still there.  Balloon Sinuplasty is offered in patients with their full understanding and commitment to make sure that concomitant allergy control and treatment is performed.

The procedure has been done safely on tens of thousands of patients over the last 10 to 15 years with extremely high success rates and extremely low complaint rates. This procedure may not be the first resort, but it sure makes a fantastically reliable last resort, and there’s nothing else to say about that (other than of course to make sure that the allergies stay under good control).

Leave it to a Sinus Doctor

If you want to breathe better, there are plenty of ways to do it. From meditation to heavy breaths to any of the things I mentioned here, having a clear nose is the way to go, especially for anyone who regularly exercises or simply just needs to think straight. So take a deep breath, one after one after one after one, and know that after reading this blog you understand more than a few ways to relieve your stuffy nose or control your allergy symptoms. What’s next is acting on it and taking care of your own self. That’s a priority everyone has. And of course, a little help from a sinus doctor never hurts, so if you have any questions about allergy control, finding the right way to breathe better or a blocked sinus cavity, don’t hesitate! Fill out the form below and we’ll get back to you as soon as possible.

– Jake Nachlas

Earth to Allergy Control

Jake Nachlas, Summer Intern for Nathan E Nachlas, MD

Hockey season just ended, and I don’t think I’m speaking for myself when I say it kept me at the edge of my seat the entire time. Sweat rolling down my cheek, squeezing the couch so tight my hands would hurt, not knowing whether I should close my eyes when the other team shot or keep them open to see an amazing save. I’m usually in bed by 9-9:30, but during the playoffs, it could be as late as midnight. Last minute goals, overtime, double overtime, triple overtime! I wouldn’t be able to sleep after the game ended because I’d replay the last goal in my head over and over wondering what went wrong. It was an intense, action-packed season filled with surprises and upsets. I don’t reallyPatient being tested for allergies to get sublingual allergy drops want to elaborate on it though because seriously, it’s in the past, and an even more intense season is coming up: a season that could also keep you up late at night, and not by choice. A season that could also keep you up wondering what went wrong. A season of upsets, but not as many surprises. A season where sometimes you won’t have a choice whether to close your eyes or keep them open. Ladies and Gentlemen, the summer allergy season is here.

But don’t worry! And if you are worried, you’ve come to the right place. I’ve been dealing with allergies all my short life. My dad has them, my older brother has them, my sister has them (Oops!). And over the years, like a dragon, you learn to tame the allergies, because they’re really a pain if you don’t! So I want to share a few ways you can “tame” your allergies, and if not tame them then lessen them, because this summer is going to be a hot one and there’s no better way to spend a vacation than being active and outdoors with the people you love.

Know Your Allergies | Sublingual Allergy Drops

First off, and most importantly, know what your allergies are. You can never control what you don’t know, it’s just that simple. Come in and get tested so you can learn about what to do and not to do. It’s the first step, and it’s always good to get it out of the way. Your doctor may give you relief medication or may start you on sublingual immunotherapy, or SLIT, to help your body slowly and safely build immunity to some of the things you’re allergic to.

Early Morning Workouts? Maybe Heat is the Better Option After All…

Patient Should Run During the Day for Allergy Control PurposesYup, it’s true. Pollen levels in the air are the worst in the early hours before sunrise, and again after sunset. Also, stick to workouts like swimming, biking or running to really open your lungs and avoid the quickly changing sports like tennis or soccer. If it feels too humid outside, that’s also a sign. Mother Earth is telling you to go get back into bed and relax for a little longer, maybe with a cup of hot tea.

Good Hygiene is Good Practice | Don’t Have a Stuffy Nose at Night

Having good hygiene is always extremely important, whether you have allergies or not. It is how you keep your body healthy, and it’s how you keep yourself well so you can keep up with your daily routine. Some of the ways you can stay healthy and clean is by keeping your home healthy and clean. Clean the kitchen, clean the floors, clean the family room, clean the sheets (if you don’t want a stuffy nose at night, that is), etc.! Keeping your house clean is the best way to avoid dust and mold build up, both of which are extremely bad allergens. Make sure you wash your hands, too. Get all of the dirt or bacteria or whatever off your hands and do it frequently. Lastly, one thing I love is a steam shower, or closing the bathroom door and making a steam room. It opens up my pores, opens up my airways, and really helps me feel clean again after an asthma incident or allergy build up.

The Squirrel Diet Takes the Cake

Believe it or not, crepes and waffles are in fact not the best foods to eat if you want feel relief from your allergies. Stick to better foods like vegetables or fruits or nuts, and keep up the Vitamin C intake. Also, consuming small amounts of local honey every day early on may help build your immunity to the pollen in your area. Lastly, packing up a tuna fish sandwich or getting the delicious, mouth-watering cedar plank salmon (Man, now I’m hungry) will boost your Omega-3 fatty acid intake which can help to reduce inflammation caused by allergies.

If They’re Still Bad, Come Back for Seconds | See a Sinus Doctor

If they say you’re allergic to something, avoid it. That’s one piece of advice to keep you going in the right direction. No food or workout has ever proven to “cure” allergies, but some of these tips that I’ve shared may help relieve you, at least a little, from the annoyance of allergies. Try some allergy medicine, too. Allegra and Nasacort have both worked well with my family and me, Patients who successfully completed their sublingual allergy dropsso I recommend starting on those. Sublingual allergy drops should bring relief, but only if you keep up with it. And lastly, if you think you’re allergies are getting worse, come in to see a sinus doctor or an allergy specialist before it turns into a sinus infection or chronic sinusitis. Surgery can be done to reopen your nasal passage and increase airflow with minimally invasive procedures that will have you breathing easy again, out doing the things you love with the people you love. And I usually don’t have a bias, but I hear my dad is pretty good at that kind of stuff. 🙂


– Intern Jake Nachlas, not yet MD

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Your Message to Dr. Nachlas

1. After a decade of progressive improvements in Balloon Sinuplasty technology, this procedure is now empirically accepted as an excellent alternative for many sinus sufferers

2. During in office Balloon Sinuplasty , the surgeon inserts a small balloon in the blocked sinus area, inflates it, deflates it, and removes it. This reestablishes air flow between the nose and the sinuses

3. Balloon Sinuplasty can be safely performed in the office setting with patients able to return to work or school the next day

4. Minimally invasive sinus surgery in patients with more complicated issues can be done as a quick, minimal downtime outpatient procedure with excellent short term and long term results

5. Computer Guided Balloon Sinuplasty, performed in the United States for the first time in Boca Raton by Dr. Nathan Nachlas (2014), adds a level of precision to the Balloon Sinuplasty procedure

6. The Propel Steroid Eluting Device developed by Intersect Corporation is a small implant which is placed after sinus procedures to minimize the inflammation of the sinus tissues. This implant has been shown to improve healing and lessen the chance of sinus polyp recurrence

7. Intersect’s Propel Steroid Eluting Device can be placed either in the office or outpatient setting. Insertion of the device is noninvasive and painless. It self dissolves over a period of several months after placement

For further information about computer-assisted balloon sinuplasty and other new, in-office procedures, call Sandy Friedman, director of patient relations for Dr. Nachlas, at (561) 939-0909 or fill out the form below:


Balloon Sinuplasty Patient Reviews

Ferdi, a wine-tasting consultant in her 30s, was plagued by her chronic sinusitis and recurrent sinus polyps. Not only were the sinus polyps causing a blocked sinus cavity or nasal congestion, they were putting her job in jeopardy: As a wine-tasting consultant, sense of smell is critical. Despite previous sinus polyp surgeries, Ferdi was still suffering, her polyps were still present and hope seemed elusive.

“Ferdi is typical of the patients we evaluate with severe nasal issues from allergies and polyps,” says Nathan E. Nachlas, M.D., director of plastic and reconstructive surgery of the face, nose and sinuses. Fortunately, procedures that help patients with nasal issues and a blocked sinus cavity have become more comfortable and less invasive. Today, most nose surgery patients can be treated in the office.

Patient with previous blocked sinus cavity issues during balloon sinuplasty recovery

Sinusitis prevents some people from performing essential job duties.

Dr. Nachlas Uses Computer-Guided Balloon to Open Sinuses

Ferdi’s recurrent polyps were treated with computer-assisted balloon sinuplasty, a procedure that Dr. Nachlas has been performing since June 2014. In fact, Dr. Nachlas was the first surgeon in America to perform computer-assisted balloon sinuplasty. For the procedure, Dr. Nachlas uses an industry-leading Medtronics computer to help guide a balloon into affected sinuses. Once inside the blocked sinus cavity, the balloon is inflated, then deflated and removed. In Ferdi’s case, this was followed by placing a special spring in the sinus to help prevent it from closing. The spring, manufactured by Intersect Corporation, is impregnated with a steroid that is slowly eluted over several months; this helps to prevent the recurrence sinus polyps.

Convient Balloon Sinuplasty Recovery

Both of these computer-assisted balloon sinuplasty procedures are performed in the office, in one sitting and with the patient awake. No packing is required, and balloon sinuplasty recovery could only last days. Because of this, balloon sinuplasty reviews have always been very positive. Ferdi was back to her activities and her wine-tasting consulting within days. Her breathing is back to normal and her smell is returning.

“The ability to treat these debilitating conditions with a quick office procedure is a huge advance in our specialty,” said Dr. Nachlas. “With this technology, we are able to transform lives.”

Contact | More Balloon Sinuplasty Reviews

For further information about computer-assisted balloon sinuplasty, balloon sinuplasty recovery, balloon sinuplasty reviews and other new, in-office procedures, call Sandy Friedman, director of patient relations for Dr. Nachlas, at (561) 939-0909. You can also fill out the form below!

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Your Message to Dr. Nachlas

No matter where you are in life, it is an honor to be asked your opinion. It takes it to the next level to be asked to teach from your experience. It seemed like a basic task: Come to Florida Atlantic University and speak to a group of eager, budding, medical-school-bound students how I chose my profession and wound up doing what I’m doing today. Again, it seemed straightforward.

What Is Your “Little Red Arrow”?

They say life is all about the journey—medicine is no exception. I told this bright, aspiring crowd that everyone needs to find their “little red arrow”. The “arrow” metaphor is derived from a marketing funnel: Many options are at the top of the funnel, but over time they get whittled down to a single path, a single “red arrow” that points you in the right direction.

The field, the calling, the area of medicine that will become your passion will give you an excitement that no other field can. The wizard doesn’t choose the wand, the wand chooses the wizard (apologies to J.K. Rowling). That is where you point your arrow.

How I Found My Little Red Arrow (Total Nose Approach TM)

I described for the students my path, beginning in Baltimore from a “learned family of physicians” (“Stepbrother” reference for any Will Ferrell fans), continuing at Yale as a molecular biophysics major, heading to the University of Chicago Medical School, and then getting accepted to the Otolaryngology/Head and Neck Surgery residency program at The Johns Hopkins Hospital in Baltimore. I even had to admit my age, as I became chief resident in the Department of Otolaryngology/Head and Neck Surgery at Johns Hopkins the year after Ben Carson held the same position there in the Department of Neurosurgery. My connection with Ben ends there: Sorry, but I have no aspirations of running for president.

Dr Nathan Nachlas Speaks to Pre-Med Students at FAU about Total Nose Approach

Dr. Nathan Nachlas speaks to a bright young group of pre-med students at Florida Atlantic University in Boca Raton, Florida.

It is fortunate when luck meets the open mind. As I was searching for my little red arrow at Johns Hopkins, my professor, David Kennedy, brought back from a sabbatical in Austria a new technique for minimally invasive sinus surgery. This was to be the start of my little red arrow. Dr. Kennedy was the consummate rhinologist, and I had the pleasure of being one of his instructors at the first-ever United States Conference On Endoscopic Sinus Surgery, which was held at Johns Hopkins in 1985. Just as he concentrated solely on the inside workings of the nose, my subsequent training as a facial plastic surgeon in Beverly Hills, California, was with a wonderful surgeon, Dr. Wally Berman, whose internationally recognized forte was the outside of the nose. My formal training was thereby completed. In fact, technically I (and my co-chief resident that year) were the first surgeons in the world trained in both the outside cosmetic and reconstructive aspects of nasal surgery and this new, minimally invasive approach for internal nose and sinus issues.

How the above developed into my ”little red arrow” was fortuitous. Immediately after departing Beverly Hills and establishing my practice in Boca Raton (almost three decades ago), I received patient referrals to Floridians who had contacted  Johns Hopkins had referred them to me. It was not long until the first such referral asked about the outside of their nose as well. It seemed a natural fit for me. Why not do the total nose? I was hesitant at first. However, any doubt in my mind dissipated when I saw the patient’s elation during his post-operative visit. The Total Nose Approach TM was an industry-changing procedure that was here to stay. To see Total Nose Approach TM in action, watch this video.

Keeping Your Little Red Arrow Pointing In The Right Direction

It’s been nearly three decades since I first performed the Total Nose Approach TM procedure. Since that time, we have made refinements to minimally invasive sinus procedures, including balloon sinuplasty, as well as minimally invasive procedures for rhinoplasty. Performing the Total Nose Approach TM, enabling patients to look and feel their best, has become my “sub-sub-subspecialty” (otolaryngology-facial plastic surgery-rhinology-the Total Nose). My Total Nose Approach TM patients are extremely appreciative, some even declaring that these surgeries have been “life changing”—see their testimonials on this page. That validation is what keeps that little red arrow pointing in the right direction. Your goal, as I related to the eager and diverse group of FAU students—most of whom stayed awake for the entire lecture—is to connect with the “wand” that was intended for you, and to make your own unique mark on the world.

To find out more or book an appointment for The Total Nose Approach™  call us at 561-939-0909 or fill out the short form below!

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Cassie Johnson was an outstanding high school soccer player.  As goalie, she was being recruited by many prestigious colleges.  When confronted with the possibility of having a procedure to relieve her chronic sinus suffering, her first question was, “How much school will I need to miss?”  Cassie’s second question, however, was more difficult: “When can I return to soccer?”

In today’s world, whether a high school or college student; an adult runner, biker, gym user, or triathlete, it seems like the dogging issue is, “When can I return to full activity?”  This is how balloon sinuplasty recovery comes into play; it’s a marvelous selling point of the new procedure.  Balloon sinuplasty recovery has revolutionized treatment for long-term sinus sufferers.  If you read balloon sinuplasty reviews online, and explore the experiences of the thousands who have undergone this often life-changing procedure, you will understand how and why this has been a blessing for patients.

Sinus Treatment: The Old Way (Removal)

Not long ago, whenever someone came into my office with a diseased sinus which failed to respond to medications, we removed it. I remember it well: I performed many of these procedures during my tenure at Johns Hopkins, both as a resident and as assistant chief of service at the Department of Otolaryngology/Head and Neck Surgery.  After all, what better way to get rid of disease than to put it in a jar?

All of us have four sets of sinuses: the frontal sinuses in the forehead, which often produce sinus headaches; the ethmoid sinuses in the nose, which also produce pain and headaches; the maxillary sinuses in the cheek, where disease can be present as dental pain or facial pain; and the sphenoid sinuses, which are all the way in back and produce headaches towards the top or back of the head.

In addition to the pain, patients had often complained of congestion, stuffiness, drainage, and clogged ears.  Any of these sinuses could and previously would be surgically removed if they were chronically diseased and if the patients were suffering enough. So, to avoid putting the patient through a difficult and unpleasant surgery, we would repeatedly treat, then treat again, then treat some more.  An army of medications, including antibiotics, decongestants, antihistamines, steroid sprays, allergy shots were all provided to desperate patients.  We gave these treatments as long as the patients could tolerate them, because the cure was so much worse!  Taking out a sinus involved cuts below the lip, above the head, around the eyes, and sometimes all three!  These sinus surgeries were reserved for the sickest of the sick.  Then, finally, came a true revolution in the treatment of diseased sinuses: computer-assisted endoscopic sinus surgery

Sinus Treatment: The New Way (Balloon Sinuplasty)

Computer-assisted endoscopic sinus surgery eliminates the need for cuts below the lip or through the skin.  What used to be a week-long, inpatient procedure quickly transformed into a minimally-invasive endoscopic procedure, performed through the nostril most often at an outpatient center.  A procedure that took three to four hours now could be done in less than one–and without the uncomfortable packing!  What could be better?  However, that nagging issue about resuming exercise remained; could there be a way to decrease that frustrating three-week waiting period?

Enter balloon sinus dilation, one of the best sinus treatment options available.

Balloon Sinuplasty Recovery: Back On The Field Faster

The same technology developed by the makers of balloon catheters, used to open clogged heart arteries, is now utilized to relieve

Balloon Sinuplasty Recovery Woman Running

Athletes don’t want sinus headaches slowing them down. New sinus surgery gets them back in action.

sinus blockage.  The major difference between balloon sinuplasty and endoscopic sinus surgery is that no tissue is removed.  As a quick in-office procedure, balloon sinuplasty is performed without the need for general anesthesia.  A thin wire is guided into the sinus and a balloon is passed over the wire.  Throughout the process, it is inflated, deflated, and removed.  Each affected sinus is

treated and packing is not required.  The patient often feels better immediately in the chair!  And, as the proverbial proof is in the pudding, patients resume full activity within just days.  Read online balloon sinuplasty reviews: they seem almost too good to be true – but they are, and to date tens of thousands of sinus sufferers are thrilled.  It’s all about recovery, and balloon sinus recovery is really awesome!

Cassie was back on the soccer field in two days.  She went on to become a superstar in college, starting as a varsity goalie all four years, breathing well, feeling well, and living headache free.

Balloon Sinuplasty: Our Boca Raton Office’s Journey

Being at the forefront of any scientific or medical field is both exciting and a privilege.  I was fortunate enough to be the chief resident in the Department of Otolaryngology/Head and Neck Surgery at The Johns Hopkins Hospital in 1985, when endoscopic sinus surgery was introduced.  Subsequently, we transformed that revolutionary technique into computer-assisted endoscopic sinus surgery in the early ‘90s. We added meticulous computer guidance to the endoscope to ensure more complete correction of the sinus blockage and greatly improve patient safety.

More than a decade later, we began testing the idea of balloon sinus dilation, monitoring balloon sinuplasty recovery time. In June 2014, we were honored to perform the first in-office, computer-guided balloon sinus procedure in the United States.  That case, and hundreds that would follow, has proven to be the new revolution in creating beautifully functioning noses and sinuses.

Three decades of revolutionary and evolutionary advancement in the treatment of chronic sinus disease is now rewarded with the incredible experience of balloon sinuplasty recovery measured in days, not weeks.

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So I really hadn’t envisioned the details of this blog until several weeks ago, while I lay on the wet grass of transition area one at Ironman Augusta 70.3. For my colleagues who are unfamiliar with triathlons, the Ironman is a grueling, body-jarring event that begins with a 1.2-mile swim, follows with a 56-mile bike ride through the challenging hills of Augusta, Georgia and neighboring South Carolina, and concludes with a half marathon (13.1-mile run) back through the town of Augusta. Please don’t ask why… it’s just something that we do. And do. And do.

Break An Athlete’s Nose, Break Their Breathing

So there I was in transition after what was, for me, a very refreshing swim and a fairly peppy run towards the area where you get on the bike. You lay down briefly on the grass while a very friendly volunteer strips off the glove-fitting wetsuit. True punishment would follow: One of my fellow competitors inadvertently (I assume) stomped on my face, his foot smashing loudly against the bridge of my nose. It was the crack heard around the world (my world that is) and the blood started gushing. Somewhat dazed, and listening to a panicked volunteer telling me how she was going to get the doctor on call and not to move. My only instinct was to get to my bike before I would be disqualified for blood loss. Probably the sane thing to do would be to wait for help and put some ice on my nose for a few minutes; however, sanity and athletes don’t always go hand-in-hand. Sometimes, they would truly qualify as oxymorons.

I knew I had a bit of an issue when I got to my bike and mistakenly put on my running shoes, not remembering whether I had already completed the bike portion of the race–that should have been a warning. But no worries. After a quick shoe change and slapping on my helmet, off I went. Still bleeding profusely, but knowing (I am a nose doctor after all) that all bleeding eventually stops, I collected my thoughts somewhere around mile ten of the bike portion. The bleeding stopped and the task at hand became clearer. I then spent the next several hours riding and thinking about just how important it is that the nose and the oxygen it delivers work together to muscle athletes through a sporting event. I finished the bike and run portions, then proudly got photographed with my bloodied face and bloodied race outfit.

Why Athletes Love Sinus Treatments

For athletes, it's crucial to fix bump in nose for maximum airflow

To athletes, optimal breathing is essential to perform their best. The nose makes it all possible.

Several of my patients are athletes. I routinely hear them get excited about their increased energy after I perform nose and/or sinus surgery on them. Some of these athletes haven’t been able to breathe their entire life. For others, a nasal mishap, like the one that I now was experiencing firsthand, altered their ability to get enough oxygen to their body during exercise stress. In both cases, that newly found breath of air can make all of the difference. Many take breathing through their nose for granted. I will often see patients with nasal polyps almost totally obstructing their nose. However, these patients don’t notice the effect until just prior to their visit. Interestingly, once the polyps are gone and breathing returns to normal, they literally feel as though they have been given a new lease on life.

Sinus Treatments For Athletes: Fix the Crooked Nose

We offer several treatments for athletes who suffer from breathing issues or have a crooked nose. If you read balloon sinuplasty reviews, you will see how, in the right candidate, a fairly straightforward office procedure can eliminate severe congestion, pounding headaches, and annoying pressure. Other procedures, including repair of a deviated nasal septum, nasal fracture reduction, and turbinate surgery, are also used to improve airflow. Airflow is critical for athletes to perform their best.

Several patients who have heard about my misadventure ask me why I haven’t had that newly acquired nose dent fixed. Some have even asked why I don’t fix it myself (and yes, the thought has crossed my mind). I guess I just look at it as a battle scar, reminding me of a pretty fun day in Augusta.

Find solutions to your breathing issues. Schedule a consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request an appointment.

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So you’re in a rut. You suffer through your day congested, stuffy, and maybe even with a pounding headache. It could be allergies. It probably has taken its toll on your sinuses. All that sinus medicine at the pharmacy still won’t make you feel better. You then recall how your dad suffered with excruciating “sinus” pain all of his adult life, but was powerless to stop it.

Balloon Sinuplasty Reviews

Well, you’re in luck. These are not your dad’s sinuses, and a lot has changed over the years. Read balloon sinuplasty reviews.

Patient sees a Sinus Doctor

Sinusitis treatment has come a long way since your dad’s days of sinus headaches.

Read about balloon sinuplasty recovery. Amazing advances in the field of sinusitis treatment have given hundreds of thousands of chronic sinusitis patients a new lease on life.

Sinusitis Treatment In The 1980s

As chief resident in the Department of Otolaryngology/Head and Neck Surgery at The Johns Hopkins Hospital in the 1980s, sometimes I would spend four to five hours operating on diseased sinuses. The length of these sinus surgeries and the pain and discomfort that followed severely limited the appropriate patient selection. Don’t even get me started on the cutting and incisions that were required for sinusitis treatment.

Sinusitis Treatment Today

Then, along came balloon sinus dilation. This procedure involves a sinus doctor threading a thin wire up through the nostril into the sinus and then passing a balloon over the wire. The balloon is inflated, deflated, then removed. What remains is a sinus that is properly ventilated, allowing normal airflow into the sinus. No tissue is removed by the balloon. Balloon sinus dilation is so gentle and quick that the procedure can be performed in the office without general or intravenous anesthesia. Some patients recoil at the thought of being awake while someone is working on their nose. No problem: Balloon sinus dilation can easily be performed at the Boca Raton Outpatient Surgery & Laser Center while you are asleep.

The results of balloon sinus dilation are remarkable. In the appropriately selected patient, balloon sinuplasty recovery is quick—recovery is possible within days. Often our patients return to work the morning after and resume full activities, including exercise, within two to three days. No packing of any kind is used.

Balloon sinus dilation is not for everyone and not all sinus disease is limited to the blockage of the sinus passageways. Other advanced sinus surgery treatments are available. However, with new, computer-assisted balloon sinus dilation, a sinus doctor can now also remove nasal and sinus polyps in the office during the same sitting. Again, this is a quick, local procedure with no packing after.

See a Sinus Doctor

These are not your dad’s times and these are certainly not your dad’s sinuses. Thanks to these new technologies in sinusitis treatment, a sinus doctor can give you a breath of fresh air just days after what is most often a simple, quick office procedure, with a quick balloon sinuplasty recovery.. To discuss your chronic sinusitis issues, or to find more balloon sinuplasty reviews schedule a consultation with Dr. Nachlas in Boca Raton: Call now at(561) 939-0909 or contact us below!


Chronic Sinusitis: What Is It?

Sinusitis affects over 37 million people each year and is one of the most common health problems in the United States. Symptoms can affect your sense of smell, decrease your ability to breathe, cause incapacitating sinus headaches and severe nose pain, and diminish your quality of life. Specifically, chronic sinusitis is an inflammation of the sinus area that becomes blocked, which can then lead to these severe symptoms.

Chronic sinusitis is very prevalent in Boca Raton and across South Florida. In fact, South Florida has a number of allergy-inducing trees and plants. Mold in humid, hot air makes allergy-induced chronic sinusitis extremely common. Because Dr. Nachlas has been treating chronic sinusitis in Boca Raton for nearly 30 years, we have a unique perspective that empowers us to provide the most relief with the least inconvenience to the patient.

Chronic Sinusitis Woman Suffering

For many people, traditional chronic sinusitis treatments like medication provide only limited relief.

Traditional Treatments for Chronic Sinusitis

Once chronic sinusitis symptoms are diagnosed, treatment begins with medications and allergy control. Many sinusitis sufferers achieve significant relief from over-the-counter steroid nasal sprays (e.g., fluticasone and triamcinalone) and antihistamines. Antibiotics are used in the presence of active infection. Allergy evaluation with allergy shots can also provide some relief. Despite aggressive medical management, however, many people continue to suffer from chronic sinusitis.

New Treatments for Chronic Sinusitis

When medical and allergic therapy fails to provide relief to chronic sinusitis sufferers, we suggest new, in-office procedures. These new treatments are minimally invasive and provide significant relief. One of the most significant new advances in chronic sinusitis treatment is in-office, computer-assisted balloon sinuplasty. It’s been just over a year since our Boca Raton medical practice became the first in the United States to perform the sinus procedure. Balloon sinuplasty involves guiding a small balloon with a computer into blocked areas of the sinuses. Once the balloon is in place and verified by the computer, it is inflated to relieve the blockage. When the sinus balloon is inflated, it gently widens the walls of your nasal passageway, allowing more air to flow through without the removal of tissue or bone. This minimally-invasive procedure is performed in our Boca Raton office under local anesthesia and with minimal discomfort. No packing is required and patients usually return to full activities within days. The effects of the sinus surgery are typically felt within one to two weeks of the procedure.

What Patients Say About New Chronic Sinusitis Treatments

To date, minimally-invasive sinus procedures have been among our most rewarding in-office procedures. Patient satisfaction is over 95%, with the typical patient feeling the benefits within days of surgery. To further improve chronic sinusitis treatment, other procedures can be added to the minimally-invasive balloon sinuplasty procedure. These can improve breathing and correct a deviated septum (learn more about this Total Nose Approach). All of these conditions can be treated–no packing is required. After performing nasal and sinus surgery in Boca Raton for over three decades, we can say that our patients are extremely satisfied with the results. Elka is one of the patients who were pleased with balloon sinuplasty:

“It only lasted a few minutes, I didn’t feel any pain, when I got home I was a little sore, took a pill and never again felt any pain. I could feel the difference right away, no more pressure in my face, no more headaches. Recovery was easy, I didn’t get any swelling, and in 2 days I was back at work. Now I can breathe!”

-Elka Mnguni,, Sep. 14, 2015

Being able to provide results like that with efficient, in-office procedures has made the sinus surgery more available to busy students and professionals. Dr. Nachlas Nose Best! To discuss your chronic sinusitis issues, schedule a consultation with Dr. Nachlas in Boca Raton: Call now at (561) 939-0909 or request a consultation.

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Nathan E. Nachlas, MD