Tag Archives: Sinus Surgery

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.”

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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.

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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, Vitals.com, 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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Millions of people suffer from sinusitis each year, lowering their quality of life and raising their healthcare costs. The inflammation of the sinus membranes causes breathing to become impaired and drainage of the sinus to be

Balloon Sinuplasty Woman in Pain

Pain in the forehead or between the eyes are common symptoms of sinusitis. Balloon sinuplasty might be your solution.

blocked, and the congestion can be quite painful. It often means more visits to your primary care doctor and several more trips to the pharmacy than you would make otherwise.

For you, the answer might be balloon sinuplasty.

Balloon Sinuplasty: What Is It?

Balloon sinuplasty is a minimally-invasive, endoscopic, catheter-based system which utilizes a flexible sinus balloon catheter to open up blocked sinus passageways. As the balloon is inflated, the inflamed passageway is gently expanded and restructured without damaging the sinus lining. The result is restored drainage and improved function.

In many cases when balloon sinuplasty is performed, there is no need for Dr. Nachlas to cut or remove nasal bone and tissue. Because of this, there may be reduced bleeding and it may be unnecessary to pack the nose, which can be uncomfortable. Additional advantages of the procedure include a short recovery time, with many patients resuming normal activity within 24 hours, and the ability to use other sinus surgery techniques or medical therapies in addition to or following balloon sinuplasty. Treatment options are not limited by the endoscopic surgery.

Balloon Sinuplasty: The Surgery Itself

Watch this video to see how Dr. Nachlas and other surgeons use balloon sinuplasty to treat patients with chronic sinusitis in place of more invasive surgical techniques.

Balloon Sinuplasty: Are You A Good Candidate?

Candidates for balloon sinuplasty have been diagnosed with chronic sinusitis and are frustrated with the reoccurring, uncomfortable, and emotionally draining symptoms of the condition, which may not respond well to medication. The FDA-approved technology is safe and considered extremely effective. Hundreds of thousands of patients have been helped to breathe better and lead a fuller life through balloon sinuplasty.

To schedule your appointment with Doctor Nachlas call us at (561) 939-0909 or request a consultation.

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Understanding Your Sinus Surgery OptionsChronic sinusitis is more than just a cold. It’s a persistent condition that makes it difficult to breathe and to go about your day. If you have sinusitis and have tried what seems to be everything to treat it — from draining your nose with a neti pot to taking prescription medicine — but haven’t gotten much relief, surgery might be the best option for you.

Today’s sinus surgery options are more advanced and less invasive than the traditional methods used in the past. The procedure can be the solution you’ve been looking for, so that you can finally breathe easily, each and every day. If you’re considering sinus surgery, understanding the different types available and what they can do will help you make the most appropriate choice.

Endoscopic Sinusotomy

During traditional sinus surgery, the doctor makes an incision either inside the mouth or on the outside of the face to reach the sinuses. The traditional method isn’t used very frequently any more, since it puts the patient at an increased risk for infection and complications. Instead, endoscopic sinusotomy is often the preferred procedure. Instead of making an incision into the skin or in the mouth, the surgeon threads an endoscope, or small camera, into the nostrils and into the affected sinus. Some surgeons, such as Dr. Nachlas, also use computer imaging to help guide them through the sinuses.

Once the surgeon has a clear view of what is happening in the sinuses, he is able to use a number of tools to remove the obstruction or to otherwise clear the sinus. Typically, endoscopic sinus surgery can be performed without the need for a single incision.

Balloon Sinuplasty

Balloon sinuplasty is an even more advanced and less invasive option than endoscopic sinusotomy. The procedure has been approved by the FDA, and Dr. Nachlas is one of a handful of surgeons to offer it.

Balloon sinuplasty features an endoscope and a catheter, both of which are threaded into the nasal passages. The catheter, which has a small balloon on one end, is threaded through the nostril, into the sinus. The balloon is then inflated, so that the sinus passageway expands. The nasal passages and sinuses are then rinsed with saline, allowing trapped mucus to drain. Sinus tissue also becomes less inflamed after the procedure, allowing a patient to breathe more easily.

The surgery offers a few advantages over other methods. Since the surgeon doesn’t have to remove bone or other tissue from the sinuses, the recovery time is generally a lot shorter. In many instances, patients need just a day or two to rest up before heading back to work.

Although less invasive than other options, balloon sinuplasty isn’t the solution for every patient. Depending on how severe the sinusitis is, a patient will see better or longer lasting results from an endoscopic surgery. Some patients find that they need to repeat the procedure after some time has passed to maintain the ability to breathe easily.

Combining Sinus Surgery With Rhinoplasty

Sinus surgery isn’t the same thing as rhinoplasty. One surgery is performed to improve function, the other is performed to improve form. But the two surgeries aren’t mutually exclusive. It is possible to improve both form and function by combining sinus surgery with rhinoplasty.

Combining nasal surgeries allows a patient to kill two birds with one stone. A patient may have trouble breathing thanks to a deviated septum or chronic sinusitis and may also be unhappy with the way his or her nose looks. Deciding to have sinus surgery and rhinoplasty at once means that the patient only has to undergo anesthesia once and will benefit from a combined, shorter recovery time. If a person has insurance that will cover the cost of sinus surgery, but not rhinoplasty, combining the two surgeries can mean that the patient pays less out-of-pocket, too.

Choosing an Option

The procedure that is right for you depends on a number of factors. Some patients have inflammation and infection in all of their sinuses, others just in one or two. The more sinuses that are affected, the more involved your surgery may be. If you are unhappy with your nose’s appearance and suffer from sinusitis, rhinoplasty with sinus surgery might make sense for you.

Dr. Nathan Nachlas is a double board certified facial plastic surgeon who specializes in nasal surgery, including rhinoplasty and sinus surgery. He can help you decide which surgery will best solve your nasal troubles and what you can expect from the procedure.

To schedule a consultation call Sandy Friedman, director of patient relations for Dr. Nachlas at (561) 939-0909 or you can request an appointment online at drnachlas.com/contact-us.


Combining Rhinoplasty and Sinus Surgery by Nathan E Nachlas MDNoses can look great, but function poorly – breathing issues, pain and discomfort are common complaints. Noses can also function great, with superb breathing and painless daily breathing, but look out of place – bumps, humps, asymmetry and size. You might be unhappy with the way it looks and the way it functions. For example, sinusitis, or inflammation of the sinus cavities behind the nose, is fairly common in the U.S. It affects about 37 million people, and can make it difficult to breathe or difficult for your nose to drain.

No one wants to feel as though they are congested all the time. Fortunately, there are ways to treat chronic sinusitis, including surgery, which help you breathe easier and enjoy your sense of smell and taste once again.

Dissatisfaction with the way the nose looks is also fairly common. According to the American Academy of Facial Plastic and Reconstructive Surgery, rhinoplasty was the most popular surgical procedure for three years.

Suffering from sinusitis and being unhappy with your nose’s appearance doesn’t mean you  have to undergo two separate procedures. Combining the surgeries, so that you end up with a nose that works better and looks better, all at once, offers a number of advantages over dividing the procedures into two separate parts.

Advantages of Combined Nasal Surgeries –- The Total Nose Approach

There are two major benefits of having two nasal surgeries performed at the same time. One big advantage is that it often costs a lot less than two separate procedures. When you decide to have sinus surgery and rhinoplasty together, you only have to book one room at a surgical center and one block of the surgeon’s time. Combined surgeries often take longer than a single procedure, but still take less time than two separate surgeries, so you save time.

Plus, when you combine the surgeries, you don’t have to go through the hassle of getting ready for the procedure twice. For example, you’ll only have to worry about not eating or drinking after a certain time of day once. You’ll also have to worry about receiving anesthesia or sedation just once, not on two separate occasions.

Combined procedures also means a combined recovery time. For example, after balloon sinuplasty, you’ll often need to take a day or two off from work. After rhinoplasty, it’s usually recommended that you take at least a week off. Having the surgeries done at once means you can take those days off concurrently, so you don’t have to worry about using up all your sick days or vacation time or about missing too much at work.

Surgery Options for Patients in Boca Raton and South Florida

If you’re looking to improve the look and function of your nose, you have a few options. Your surgeon might recommend sinus surgery and rhinoplasty, for example. In some cases, septorhinoplasty and sinus surgery might be a better options. During septorhinoplasty, the surgeon focuses on straightening and correcting a deviated septum and on shaping the nose.

Finding the Best Surgeon for Your Nose Surgery in South Florida

Choosing the right surgeon for a combined nasal surgery is an absolute must. While plenty of plastic surgeons perform rhinoplasty, not all of them perform sinus procedures. Some surgeons focus on sinus surgeries or on procedures that improve the function of the nose, but not on purely cosmetic surgeries.

You want to find a surgeon who specializes in both types of surgery. Do your research before deciding on a doctor. Ask to speak to past patients who have had combined nasal surgeries, look at photographs of past patients, and find out more about the surgeon’s training and experience.

The nose is a complex structure, so you want a doctor who really understands it. During your consultation, the surgeon should look closely at your nose, examining its shape and size, the septum, or wall that divides the nasal cavities, and the interior structure of it, including the sinuses and turbinates. The surgeon should become very familiar with the nose before making any recommendations to you or starting surgery.

Not every surgeon offers surgery for both form and function. In Boca Raton, Florida, Dr. Nathan Nachlas is one of the few surgeons to do so. Dr. Nachlas is nationally recognized as a nasal specialist. The majority of facial plastic surgeries he performs are nasal surgeries, and about half of those surgeries are combinations of sinus surgery and rhinoplasty.

To schedule a consultation call Sandy Friedman, director of patient relations for Dr. Nachlas, at (561) 939-0909. You can also reach us at drnachlas.com/contact-us.

Nathan E. Nachlas, MD