Nasal Obstruction Surgery

Nasal Obstruction Surgery Overview

Treats: Nasal obstructions that interfere with breathing and sleeping

Length: Varies from 2.5 to 7.5 hours

Anesthesia: Asleep

In/Outpatient: Outpatient

Side Effects: Patients may experience swelling and bruising around the eyes and nose, slight bleeding and stuffiness when breathing through the nose.

Risks: Anytime a patient has surgery, there is a risk of bleeding, infection, scarring, or side effects from anesthesia.

Recovery: Most patients return to work or school one week after a rhinoplasty. Some patients choose to take two weeks off. Patients are encouraged to start walking and doing light exercise starting two weeks after surgery. Full exercise can start 4-6 weeks after surgery.

Duration of Results: Permanent

Remarkable Care, Exceptional Results

“I have wanted a rhinoplasty for as long as I could remember, but I always convinced myself that the risk were not worth it. If I would have met with a surgeon years ago I would have realized all the “risk” that I had come up with were extremely unlikely to happen. I have deleted so many pictures of great memories because my nose looked too big and have been self conscious for too long. One week of discomfort was well worth it!”

-cnhensle, RealSelf 



nasal obstruction specialist in charlotte nc

Your nose is a critical component of a healthy respiratory system. If a problem occurs and your nasal passages begin to narrow or become obstructed, your body has to exert more effort to breathe properly.

For this reason, nasal obstruction can significantly affect your quality of life, as it will cause fatigue, loss of energy, sleep interruptions, and snoring.

Dr. Kulbersh performs nasal obstruction surgery to open up nasal passages and help patients breathe easier.

The top aesthetic destination of the south, Carolina Facial Plastics, is led by double board-certified facial plastic surgeon Dr. Jonathan Kulbersh. With his team of cosmetic experts, a fully accredited surgery center, and a private recovery retreat all located in the heart of SouthPark, Carolina Facial Plastics is known for unparalleled and natural-looking results exclusively for the face.

consultation for a deviated septum rhinoplasty in charlotte nc

Many structures in the nose may contribute to nasal obstruction, and each can be treated to make breathing easier:

  • Deviated septum
  • Collapsing nose
  • Narrow valves in the nose
  • Bony spurs inside the nose
  • Nasal septal perforation

To learn more about nasal obstruction, visit


The most critical part of nasal obstruction treatment is a thorough examination by an experienced ENT or facial plastic surgeon. These doctors are the only physicians who spend their entire training focused on the anatomy, physiology, and function of the face’s structures. Dr. Kulbersh did a 5-year residency training as an ENT before completing his facial plastic surgery fellowship training. His specialty training provides the patient with the highest level of nasal obstruction expertise.

Dr. Kulbersh is also the founder and operator of Fairview Surgical Suites, an exclusive surgical center devoted to advanced cosmetic procedures, and Fairview Recovery Retreat, a surgical recovery center dedicated to the health and recovery of our facial plastic surgery patients. These centers provide the highest level of safety and care for our patients, as well as a luxurious, 5-star setting for a private and comfortable recovery process.

To learn more about these cutting-edge facilities, please contact Carolina Facial Plastics today.

The septum is composed of cartilage and bone that separates the right and the left nasal passageway. If it is not properly centered, it can narrow the nasal passageway.

The septum can deviate in many locations: the front, back, middle, upper, or lower nasal passages. In many cases, a deviated septum can be fixed with a short surgical procedure called septoplasty. The incisions for this surgery are hidden inside the nose.

Deviations that are closer to the front of the nose will require a more specialized technique to correct this issue adequately, taking both appearance and function into consideration.

Think of your nose as a house. The part you see is like the roof of a house and is supported by the underlying bones and cartilage. If the underlying support has been damaged, the roof caves in and obstructs the air passages. A collapsed nose often occurs after a previous rhinoplasty or facial trauma.

If the nose collapses due to previous surgery or trauma, Dr. Kulbersh performs a “reverse rhinoplasty.” During a normal rhinoplasty, cartilage is removed in some places and added to other areas for support. In a “reverse rhinoplasty,” cartilage is taken from the nose, ear, or possibly the rib to reconstruct and properly support the collapsing nose. Adding new cartilage rebuilds a strong foundation to create a nose that will last a lifetime.

There are two valves in the nose, the internal and external nasal valves. During your examination, these valves are inspected to see if there is narrowing causing nasal obstruction.

If your valves are narrowing, a septorhinoplasty is performed to place grafts or spreader grafts in the region to enlarge the area and allow you to breathe more easily again.

The septum has a bony component that can develop an extension that budges into the airway. This can obstruct the nasal airway.

These bony spurs can be corrected with a short surgical procedure, septoplasty, with incisions hidden inside the nose. The bony spur is removed with a small chisel to open the airway.

A septal perforation is a hole in the septum. The hole changes the normal flow of air in the nasal passageway, causing turbulence. This change in the flow of air into your nose creates a feeling of nasal obstruction.

A complete medical exam is performed to identify the cause of your septal perforation. The likely causes are trauma, injury from previous surgery, cocaine, or an autoimmune disease. If Dr. Kulbersh suspects an autoimmune disease, he will refer the patient to a specialist. If there is a non-surgical treatment option, Dr. Kulbersh will attempt it first. In this case, simply humidifying the nose with nasal saline may be all that is needed. If this does not provide sufficient improvement, the hole can either be closed with a small plastic button or surgically closing the hole.

Each nasal passageway has three sets of turbinates. They are long, curved cylinders that run from the front to the back of the nose. They swell and shrink during the day to regulate nasal breathing. This is referred to as the nasal cycle. Turbinates can become abnormally enlarged and obstruct your breathing for various reasons, such as allergies, trauma, or genetics.

Turbinate hypertrophy is initially treated with nasal sprays in an attempt to shrink the tissues. If this non-surgical approach is unsuccessful, then the turbinates can be conservatively reduced in a minor surgical procedure.

If you are suffering from nasal obstruction, schedule a consultation with Dr. Kulbersh today so he can help you breathe with ease again. You can contact us by phone at 704.842.3644 or by completing our online form.

Frequently asked questions

The nasal septum separates the right and left nasal cavities. It is made of cartilage and bone. Deviated or bent portions of the nasal septum can be caused by traumatic injury to the nasal structure or congenital abnormality. When the septum significantly deviates, it can block the nasal airway. A deviated septum can also block the outflow of the sinus passages, leading to chronic sinusitis.

Yes. Rhinoplasty surgery can improve your breathing. Dr. Kulbersh uses special techniques to open your airways and allow you to breathe through your nose more easily.

This varies depending on the cause of nasal obstruction and the required procedure to correct the problem. During your consultation and examination with Dr. Kulbersh, he will explain what you should expect for your recovery.

While in Beverly Hills for his fellowship, Dr. Kulbersh learned cutting edge procedures and the best way to utilize superior products, which he brought to the Charlotte region to correct the deviated septum. One of these products is a thin dissolvable plate, the PDS plate, which is attached to the crooked septum to support and straighten it.

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Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh
Dr. Paul Nassif Hear what Dr. Paul Nassif of Botched says about Dr. Kulbersh

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