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.
"After searching for a board Certified surgeon for rhinoplasty Dr Keyes proved to be the one to fulfill my expectations. From the day I had my consultation I knew I could trust him and his great assistant Kimberley. I'm only 9 days post op for a closed rhinoplasty and the result is exactly in what we went over to achieve. Swelling has gone substantially and I now feel even better than before with my new nose! With no doubt I highly recommend Dr Keyes' services to anyone coming across his name."- A.P. / Yelp / Jul 25, 2019
"I had such a great experience with Dr. Keyes. He is very experienced and made me feel very comfortable throughout the whole process. The staff is also super friendly and welcoming. I am extremely happy with my results and would highly recommend Dr. Keyes !"- A.I. / Google / Jun 28, 2019
"I chose Dr. Keyes after looking for the best plastic surgeon in California for my daughter’s rhinoplasty. From the very first appointment, I felt she was in the right hands. He showed us exactly what he was going to do and what we could expect and sure enough, that’s what he delivered. She had very little pain and her nose looks amazing. I’m so glad we selected Dr. Keyes and Kimberley to care for my daughter. I highly recommend Dr. Keyes and staff!"- M.G. / Google / Jun 14, 2019
"Finding Dr. Keyes was fate. After having one of the worst rhinoplasty consultations from a top plastic surgeon in Beverly Hills (that quoted me an obscene amount),I was kind of unmotivated and scared to keep looking. Out of nowhere, Dr. Keyes showed up at my workplace. I remember thinking how kind and welcoming he was in our interaction. When I found out he was a plastic surgeon specializing in rhinoplasty I knew this was meant to be! He answered all my questions right then and there and told me to call his surgical assistant and manager, Kimberley, and let me tell you...Kimberley is AMAZING!!! Not only did Kimberley answer the phone immediately with the most comforting voice but she scheduled a consultation based on what worked best for my schedule. The consultation was so easy. I didn't even have to wait. They brought me in the room, took photos of my nose and next thing I know Dr. Keyes was in the room showing me what my nose could look like. He listened to what I had to say, what I was self conscious about, and really incorporated me into the treatment and what I could get out of it. Dr. Keyes and Kimberley made me feel welcome, comfortable, excited, and confident about my decision on getting my nose done. Scheduling my surgery was crazy because of my schedule at school and work. Kimberley always answered my calls and answered my concerns about rescheduling my surgery which made it very convenient for me. Surgery day was nerve wracking but exciting. The anesthesiology nurse even called me a few days before to make sure I was aware of the process and what would happen, addressed my concerns about surgery, and eased my nerves. Dr. Keyes, Kimberley, and all the nurses made sure I was okay, talked me through the process, and kept me updated on what was happening next. Next thing I know, I was waking up with Dr. Keyes and Kimberley by my side. They called that night to make sure I was okay and scheduled a time for me to come in the next day.From the time I woke up from surgery, I had barely any pain! Besides the swelling and bruising(which is expected), recover was so easy. I was up and about within a few days. The bruising and swelling went down within 5 to 7 days but that's patient specific.When I finally got my cast off, I couldn't believe how amazing my nose looked! I couldn't help but cry my eyes out. It was just what I wanted for sooo long. To this day, I still look at myself in the mirror and get all giddy inside. The best part is how NATURAL it turned out. I still look like ME and I LOVE it. People that knew me before the surgery just look at me and tell me something as changed but they can't pinpoint it. If you are looking for a natural looking nose that compliments your face and who you are as a person then Dr. Keyes is your guy!I have never felt so confident and beautiful in my life. I owe it all to Dr. Keyes and Kimberley!!!"- L.F. / Google / Jun 14, 2019
"Dr. Keyes and Kimberley are amazing! They treated me with respect and provided incredible care before and after surgery. I am 3 weeks post op from rhinoplasty surgery. The swelling has gone down tremendously and will continue to do so. I am thrilled with how it looks so far and I know it’ll only get better!"- A.W. / Google / May 22, 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.