About Turbinate Reduction
Our committed, double board-certified plastic surgeon, Dr. Geoffrey Keyes, is here for you when you need a consultation for a turbinate reduction. You may have heard that rhinoplasty, or nose surgery, improve an enlarged turbinate condition. Your turbinates are thin, long nasal bones that stick out from the sides of the septum within the nasal cavity. Turbinates also appear as small, curled knobs on the ends. There are three forms of turbinates:
- Superior turbinates
The bones found in the upper part of the nose located between the eyes and nose are known as superior turbinates.
- Middle turbinates
Middle turbinates are found in the middle portion of the nose.
- Inferior turbinates
Inferior turbinates sit right atop the nostrils.
Double board-certified plastic surgeon Dr. Geoffrey Keyes will evaluate your nose during an initial consultation to determine whether or not enlarged turbinates surgery is suitable for you. Some patients are referred to our practice for the treatment of atrophic rhinitis, which is a painful condition that requires surgery. Turbinate rhinoplasty can treat turbinates that are inflamed because of allergies or irritants. Sometimes the turbinate can become constricted if a deviated septum pushes it to a single side. This leads to the opposite turbinate becoming larger to compensate for the constricted turbinate, which leads to further breathing problems. A procedure known as submucosal resection is a standard technique to treat enlarged turbinates.
"This review may be a little early as I just got my cast off my nose today...but I am over the moon. I don't know how Dr. Keyes does it, and I'll admit I was skeptical while the cast was on as the cast and tape can distort things. I was actually a nervous wreck. But when that cast came off today, it reduced me to happy tears. He did everything I wanted and more. My nose is now straight, and it looks amazing. Even swollen I love it! I can breathe through my left nostril for the first time and it feels so good. I seriously feel like a new person. I'm so excited to see how it progresses over the next year. Dr. Keyes was the only consultation I had, and for a second it crossed my mind, did I jump the gun on this? Do I need a second opinion? Something in my gut trusted him. And I'm so glad my gut was right. His reviews and his before and after photos on his website speak for themselves. I am so thankful to Dr. Keyes and Kimberly. They're so easy to reach and they care about you just as much before the surgery as they do after. They are wonderful. Couldn't recommend them more. I am so happy. Thank you Dr. Keyes and Kimberly. From the bottom of my heart!"- S.B. / Yelp / Nov 05, 2019
"So happy with rhinoplasty results - two weeks post op! - I'm only two weeks post op from my nose surgery so technically I should wait to write this review until the final result, but I can't wait. I am so happy with my results. Dr. Keyes is an expert rhinoplasty surgeon, and he did a remarkable job on me. I was classified as "a hard nose" because I already had a nice nose, but I was always self conscious because it was slightly crooked and pinched in the center which also gave me breathing issues. He knew exactly what I needed from the moment he saw my nose, and he delivered. My nose is so natural and beautiful now, I can't believe it's only going to get better. Hard to imagine! Not to mention my breathing is amazing. Feels like I have an invisible breathe right strip on. It's an incredible feeling.Kimberly, his partner is also lovely. Like all the other reviewers say, she is there every step of the way answering questions and concerns. Both of them couldn't be easier to reach. Kimberly is warm and friendly and makes you feel totally comfortable. All in all I feel lucky to have found them, and I am so thankful. Will report back with an update a couple months from now. Thank you Dr. Keyes and Kimberly!"- P. / RealSelf / Nov 11, 2019
"Dr. Keyes and Kimberley, his surgical assistant, are the best in the business. These days it is tough to find a surgeon especially because you can find a lot of flashy pictures on social media that might make you interested in visiting a surgeon, but when it comes down to it it's all about skill. Dr. Keyes has been president of the rhinoplasty society and speaks around the world on surgical techniques. Kimberley is SO kind and caring, you will certainly be in great hands with these two. When it comes down to picking a surgeon, it is key to find a surgeon that has the credentials, bedside manner, and experience and that is Dr. Keyes and Kimberley! I'm only 4 months post-op and I can't wait until my final results. This is the place to go for your next procedure, 100%. Wish I could give more than 5 stars!"- J.S. / Yelp / Oct 29, 2019
"Kimberely and Dr. Keyes are the best! - Prior to Dr. Keyes I had seen three different ENT’s; two scoped my nose, one wanted a CT scan and I had a couple of surgeries that were of no help.My primary care physician suggested I go see Dr. Keyes, because he was able to help one of her other patients.I was NOT thrilled on the idea to go see a "plastic surgeon".I called and talked to Kimberley, Dr. Keyes Director of Patient Services. She is absolutely AMAZING! She answered all of my many questions and I called more than once!I met with Dr. Keyes and told him about the issues with my nasal passages. He listened, asked a few questions and then examined my nose.After a little prodding, he said there were three items wrong with my nose. He described the details of the nose functions and then explained what needed to be done to mine.I was impressed. It made sense and I went through with the surgery.I wish I would have gone to him FIRST!THANK YOU Dr. Keys and Kimberley! You two are the best!"- N. / RealSelf / Oct 14, 2019
"3 months post-op and loving so far! - Dr. Keyes and Kimberley are literally the BEST of the best. I've been waiting to write my formal review (and will be doing so when I have more time to rave about them) but honestly I've been getting a ton of compliments and couldn't wait! They are the dream team! More formal review to come :)"- R. / RealSelf / Oct 13, 2019
Dr. Keyes is accepting new patients for turbinate reduction, especially if you a referral from a physician who suspects that you have atrophic rhinitis. Turbinate reduction is a reshaping surgery that can address physiological problems that obstruct nasal breathing. A candidate for this surgery may also have a deviated septum. During the consultation, Dr. Keyes will do an examination, ask questions about your medical history, and discuss how he would approach your nasal condition.
Men, women, and children are all candidates for this surgery after other medical interventions have failed, including:
- Allergy treatments
- Prescribed oral and topical medications
- Avoiding what is irritating your nasal passage
Surgery to reduce your enlarged turbinates may be the only option left if you have tried all of the above medical interventions. Treatment would alleviate problematic breathing through the nose, nosebleeds, snoring, interrupted sleep, loss of the sense of smell, and dry nose.
There are many ways to approach a turbinate reduction. Some nose surgeons believe turbinates should be completely removed while others will not remove anything involving the turbinates (but will outwardly fracture the turbinate to make a larger passageway). These surgical techniques take place in an operating room under anesthesia. If you also have a deviated septum, the surgeries can be performed at the same time.
Another technique is to only excise a section of the turbinate. Dr. Keyes would only take off a portion of the obstructing turbinate to ensure that adequate turbinate is left within the nose. The remaining turbinate will still warm and humidify the air entering the nose.
There are also techniques that will decrease the size of the turbinate without excision. Dr. Keyes can proceed with treatment with coblation, radiofrequency reduction, and cauterization. All of these procedures involve heating the turbinate with its respective specialized instrument. The heat causes the tissue to shrink and form scar tissue.
What to Expect
When you return home from the surgery, you should follow all of Dr. Keyes post-operative instruction you received to care for yourself (or a loved one). You may feel slightly sleep after the procedure. Take it easy as your nose begins the healing process. It is normal to have swelling, bruising, nosebleeds, and some drainage out of your nose for the first week. It is imperative for you to stay hydrated. Over-the-counter pain relievers should be sufficient for any discomfort you may feel after surgery.
If you have splints placed with a rhinoplasty, Dr. Keyes will have you back in his office for a follow-up appointment in about 6 – 7 days. If you do not have splints, Dr. Keyes will still have you in for a follow-up visit within the week to check your progress. If at any time you feel like you are having a negative reaction to the procedure (high fever, skin discoloration, infection, or abnormal breathing) please call for immediate medical attention.
Frequently Asked Questions
How much does turbinate reduction cost?
There is no one-size-fits-all approach to turbinate reduction and Dr. Keyes will give you a detailed treatment plan that outlines the procedures you need to do this nose surgery.
What does a turbinate do?
All the turbinates in your nose have an important job to perform. They warm and humidify the air you breathe through your nose. They also keep your nose from crusting or drying out, which is a very unpleasant condition.
Why don't you just take out all of the turbinates?
It is vital not to eliminate the turbinate completely as this can affect the overall turbinate function. The full excision of a turbinate can cause a very crusty and dry nose. Sometimes the turbinate tissue re-grows after the procedure which will require additional surgical intervention. In comparison to complete turbinate removal, this is more acceptable.
Is this a cosmetic surgery or a medical necessity?
Turbinate reduction is a nose reshaping surgery that can address the physiological problems hindering your ability to breathe properly. It can also enhance the shape of an individual’s nose for better proportion with other facial features. Many types of rhinoplasty techniques can be used to meet your unique requirements — for aesthetics or function. Dr. Keyes will discuss this with you in depth to determine how you would like to proceed in your treatment.
For Your COnsideration
Schedule a turbinate reduction consultation in our Los Angeles, CA office of Geoffrey R. Keyes, M.D., F.A.C.S. today. Take control of your nasal health and reduce your risk of atrophic rhinitis with our turbinate reduction surgery. Dr. Keyes will relieve the turbinate barriers obstructing your breathing with his surgical skills. We look forward to meeting you at your appointment.