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Nasal Valve Collapse in Syracuse, Rochester, and Ithaca, NY

Double board-certified Facial Plastic Surgeon Dr. Sang W. Kim of the Natural Face™ Clinics provide treatment for nasal valve collapse for patients residing in the Syracuse metropolitan area and Central New York area including Ithaca, and Rochester.

What is a nasal valve?

The nasal valve refers to the narrowest segment of your nasal airway.  There are two types of nasal valves – the internal nasal valve and the external nasal valve.  The internal nasal valve consists of the front part of the upper septum, inferior turbinate, and upper lateral cartilage.  The external nasal valve consists of the visible external part of the nostril, including the columella, the front part of the lower septum.  Both the internal and external nasal valve problem can present as a chronic obstructive problem due to constant narrowing or dynamic obstructive problems due to a collapse during forceful breathing, for example, during exercise.

How do I know if I have a nasal valve problem?

Patients with nasal valve problems are chronic mouth breathers.  Frequently they find themselves breathing through their mouth when they exercise.

Patients with nasal valve problems will have constant trouble breathing through their noses even with medical treatments like allergy medicines, or nasal spray.  Some of these patients are heavy snorers because they cannot breathe through their noses when they are laying down to sleep.

Often times, these patients will experience improvement with Breathe-Right Strips.  If this describes your history of nasal obstruction, you may have a nasal valve problem.  Ultimately, a careful physical exam will confirm whether you have a nasal valve problem, and also determine what type of nasal valve problem you may have.

Rhee JS, Weaver EM, Park SS, et al. Clinical consensus statement: diagnosis and management of nasal valve compromise. Otolaryngol Head Neck Surg. 2010; 143(1): 48-59

Rhee JS, Poetker DM, Smith TL, et al. Nasal valve surgery improves disease-specific quality of life. Laryngoscope. 2005; 115(3):437-440

Does a nasal valve problem affect the appearance of the nose as well?

While the nasal valve problem does not always manifest in the appearance of the nose, there are some classic tell-tale appearances of the nose with a nasal valve problem.

Narrow, pointy, or pinched appearance are classic examples of patients with a nasal valve problem.  Some crooked or asymmetric noses can have nasal valve problems.  Others may have noticed that their nostril will collapse when they are breathing rapidly during exercise.  While changing the appearance of the nose is not the objective of a nasal valve repair procedure, often times the appearance will also improve when the structural problem related to the nasal valve is corrected.

What are the causes of nasal valve problems?

While many patients are just born with a weak or limited nasal airway, others may acquire the problem over time.  Events such as a broken nose, surgery involving the nose or sinus cavity can result in changes of the nose that can weaken or compromise the nasal valve areas.  The natural aging process can affect nasal valve structures in several ways.  The ligaments that hold the nasal cartilages together begin to weaken and stretch; bone around the nose resorbs (just like everywhere else in the body); and the cartilages themselves become more flaccid.  See aging nose for details on what can be done about this process.

What is involved in the nasal valve repair procedure?

There are numerous surgical techniques to repair the nasal valve.  The most commonly used strategy involves reinforcing the problematic nasal valve by introducing structural cartilage graft to strengthen the area.

Internal nasal valve problem:

After careful physical examination, the surgeon will determine which component of the internal nasal valve is the problem and employ the appropriate technique necessary to correct this.  The spreader graft is one of the most commonly used techniques to correct an internal nasal valve problem.  This technique will widen the angle of the internal nasal valve, and in the process can also straighten the crooked nose.  Because precise placement is paramount to the success of this technique, Dr. Kim prefers to place spreader grafts under direct visualization through an open rhinoplasty approach.  Frequently, Dr. Kim will utilize the flare suture technique at the same time with the spreader graft placement to further improve the outcome.

External nasal valve problem:

After careful physical examination, the surgeon will determine which component of the internal nasal valve is the problem and employ the appropriate technique necessary to correct this.  The alar batten graft is one of the most commonly used techniques to strengthen the collapsing or weakened external nasal valve.

Spielmann PM, White PS, Hussain SS. Surgical techniques for the treatment of nasal valve collapse: a systemic review. Laryngoscope. 2009; 119(7): 1281-1290

Simon P, Sidle Douglas. Augmenting the nasal airway: Beyond septoplasty. Am J Rhinol Allergy 26, 326-331, 2012

How long does it take to recover from a nasal valve repair procedure?

This depends on the extent of the procedure.   If the patient’s problem can be adequately addressed via the endonasal approach (“closed”) nasal valve repair procedure, patients will often return to work in a few days.  Most patients do not require any nasal packing and should be able to breathe through their nose after a few days.  Sutures are placed inside the nose and they are dissolving sutures.

If the patient requires a septoplasty with more extensive nasal surgery, such as the functional open rhinoplasty, they will have a small incision under the nose and possibly a splint outside the nose.  The small suture under the nose and the splint outside the nose will be removed at day 7 after the surgery.  The patient may resume desk activities a few days after the surgery, but outdoor activity or exertion should be avoided for about 10 days.  Aerobic exercises may be resumed after 2 weeks with intensity increased gradually thereafter.

Double board-certified Facial Plastic Surgeon Dr. Sang W. Kim at Natural Face Clinics specialize in aesthetic enhancement of the face, head, and neck, exclusively. Patients come to see us from the Syracuse metropolitan area and Central New York area including Ithaca, and Rochester. At Natural Face Clinics, we specialize in restoring the youthful neck contour, tired appearance of the brows and eyes, and skin laxity. We offer customized treatment, both surgical and non-surgical, including facelift, eyelid surgery (blepharoplasty), nose surgery (rhinoplasty), brow lift, neck lift, and skin resurfacing. Find out more by scheduling your personal consultation today.

 

Facial Plastic Surgeon in Syracuse, Rochester, and Ithaca, NY

MEET THE DOCTOR

Dr. Sang W. Kim

Harvard Trained, Double Board Certified Facial Plastic Surgeon

Sang W Kim, MD is a double board-certified facial plastic surgeon who specializes in cosmetic and reconstructive facial plastic surgery, nasal/sinus surgery, and hair restoration surgery.

TESTIMONIALS
We invite you to share your experience online at RealSelf.com. Click on the button below to leave a review!  -

I found everyone at Natural Face Clinics to be very friendly and accommodating. During the procedure I became ill and both Dr. Kim and Susan were very compassionate and I did not feel rushed. As of this date, the results are great and I am happy with the end result. Dr. Kim has been very kind and professional. He is a great doctor. The staff is very kind and caring. They are always friendly and accommodating on the phone and in the office. I would definitely recommend Dr. Kim to my family and friends. Thank you for everything!

- Joanne – East Syracuse, NY

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Everything about the procedure was well explained and it was a breeze! The chin surgery came out well and as expected. The doctor was very professional and put me at ease. He explained everything that he was doing. The staff is top notch and Karen was outstanding.

- Carl – East Syracuse, NY

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The initial visit was informative and reassuring. I was given options and a clear understanding as to what to expect. It was very comforting. I received excellent care and I am thrilled with my results! I’ve already booked my next procedure. I was pleasantly surprised with how little pain there was and how quickly I recovered.
Dr. Halliday is wonderful! He is knowledgeable and professional. I wouldn’t trust my face to just anyone. He is an excellent plastic surgeon. The staff is professional, caring and attentive. Appointment times are honored and the visits are never rushed. I am so grateful for the outstanding care I received.

- Susan – East Syracuse, NY

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My experience was very professional and helpful. My questions were answered that I did not think to ask. They were very friendly and accommodating. The procedure went smoothly. Post-op care was especially spoiling, considering it was during the holidays. Everything was done to ensure I had an optimal outcome.
My results are splendid! I am receiving compliments that I look 15-20 years younger than prior to my procedure. My doctor was outstanding and genuinely concerned. He wanted me to understand what was being done and why. I had clear and concise answers to questions and received excellent bedside manner. The staff is friendly, efficient, on time and on task. They are eager to assist! I would recommend and would use again when needing cosmetic enhancements. I am very, very pleased with my experience and results.

- D.L. – East Syracuse, NY

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When I look in the mirror, I know I made a great choice. Dr. Halliday and his exceptional staff were thoughtful, knowledgeable, and caring. My results were very good and not over-done like some actress on TV. I have referred friends and they also had great results.

- Mary - New York Mills, NY

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I cannot begin to tell you how happy I was and continue to be with Dr. Halliday and his staff. I felt very comfortable the first time I met him and talked with his staff. I was treated professionally and with dignity. I originally met Dr. Halliday to discuss fillers. After talking to him and discussing all my options, I decided to have a face lift and surgery on my upper and lower eye lids. He never pushed me into making a decision, in fact, he told me to think about it. I left and headed to work and I called the same day and booked my surgery. He is an artist and a master at what he does. I am extremely happy with my results. I have and will continue to recommend Dr. Halliday and his staff to anyone interested in improving their appearance.

- Debbie - Syracuse, NY

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This whole process has been an amazing experience. The staff and Dr. Halliday treat you with respect and also assure your privacy. The staff is efficient and communicates well; you have complete knowledge of the process and the outcome is absolutely awesome. Thank you!

- Dale - Ilion, NY

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At my initial visit I was met with a short wait time and a friendly staff. Throughout the whole procedure I was comfortable and I healed well and had no problems; I am happy with my results. Dr. Kim is so nice and friendly. He answered all my questions and made me feel safe and comfortable. The office staff has been very friendly and helpful as well. Everyone is so nice here.

- Karen – Syracuse, NY

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When I met Dr. Kim and the staff, everyone was friendly. Dr. Kim did a good job with my procedure and made me feel comfortable. My hair has started to grow and I feel like the procedure has worked. Everyone here is nice and I liked Dr. Kim’s honesty with me. My doctor wanted me to go to a different doctor for my nose but I told him “no I want to go to Dr. Kim”.

- Ljupco – Syracuse, NY

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At my initial visit Dr. Kim and the staff were very informative on what was going to happen with the surgery. He removed Melanoma from the left side of my nose and it very good. All of the Melanoma has been removed and is healing well. Dr. Kim has been very informative on all that has taken place and what is in the future after surgery. The staff has also been very helpful throughout the whole process. I would see Dr. Kim again if I had any more cancer to be removed.

- Eugene – Syracuse, NY

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My initial consultation was very informative. The doctor was honest about the procedure, as well as, the cost and I felt no pressure to make a commitment. The office itself is very comfortable and the staff is friendly and welcoming. My procedure went smooth and the doctor was very cautious to not release me until he was sure I was ready to leave. I am very happy with my results and the healing time was even better than expected. Dr. Kim has an excellent bed side manner and his staff made the whole process enjoyable. He is easy to talk to and very informative about the procedure, as well as, advice on the healing process. I would definitely refer my family and friends to this practice.

- Linda – East Syracuse, NY

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Dr. Kim and the entire staff are nice. Dr. Kim did a good job and everything is 100%.

- Nevzad – East Syracuse, NY

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My husband and I met with Dr. Halliday and Terri. We arrived to a very clean and inviting office and did not have to wait long. Dr. Halliday and Terri did not tell me what should be done but were interested in what my goals were for a cosmetic procedure. They answered all my questions and explained their recommendations clearly. On the day of my procedure everyone went out of their way to make sure I was as comfortable as possible. I liked the “privacy” of the operating and recovery area. I feel like l look years younger while still looking “age appropriate”. Friends and family have commented I look good and the natural lift is exactly that; very natural. The only way people know I had a procedure is because I told them. Dr. Halliday was very professional and friendly the entire time. I completely trusted all the decisions he made during the procedure. He took his time and even took time to put my husband at ease about having the procedure done. Everyone at the office is extremely friendly and I have never had to wait long for my appointment. I feel like I have made an investment in my face and while I am happy to be my age I am even happier to have a face that matches the body I have. I will continue to make enhancements along the way with Dr. Halliday, Terri, and everyone in his office who made me feel and look special.

- Nicki – East Syracuse, NY

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The staff is very pleasant and helpful. I am very pleased with Dr. Hallidays expertise.

- Debra Victor - East Syracuse, NY

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This is a wonderful place to come, everyone is great and happy. I had the best care and will recommend this surgery center to my friends.

- Linda - Syracuse, NY

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I was very worried about my surgery. However, the doctor and staff were wonderful and my surgery and recovery were well worth it.

- Shirley – Syracuse, NY

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