What Is A VivAer Procedure? A Guide for Those with Chronic Nasal Congestion

What is nasal airway obstruction?

Nasal airway obstruction refers to a condition where the nasal passages become partially or completely blocked, hindering the flow of air through the nose. This obstruction can occur due to various factors, including anatomical issues such as a deviated septum, enlarged turbinates, or nasal polyps, as well as inflammation caused by allergies, infections, or sinusitis. 

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Symptoms of nasal airway obstruction often include chronic nasal congestion, difficulty breathing through the nose, snoring, and disrupted sleep patterns. In severe cases, it can lead to significant impairment in daily activities, as individuals may find themselves relying more on mouth breathing, which can contribute to further health issues. Understanding the underlying causes of nasal airway obstruction is crucial for determining the most effective treatment options, which can range from medical management to surgical interventions like the VivAer procedure.

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What is the VivAer procedure?

The VivAer procedure is an innovative, non-invasive treatment that targets the nasal valve area, which is the narrowest part of the nasal airway and a frequent site of obstruction. This small but crucial region accounts for approximately two-thirds of nasal airway resistance, making it a common culprit behind chronic nasal congestion and breathing difficulties. When the nasal valve area is narrowed or compromised, it can significantly restrict airflow, leading to symptoms like persistent stuffiness, difficulty breathing through the nose, and disrupted sleep.

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How does VivAer work?

VivAer offers a solution by gently reshaping and widening the nasal valve, effectively "opening the front door of the nose" to allow more air to pass through. Unlike traditional surgical approaches, VivAer is completely non-invasive, with no incisions or tissue removal required. It works by utilizing low-temperature radiofrequency energy to gently reshape and remodel the nasal valve area. 

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During the procedure, the small device that utilizes the low-temperature radiofrequency (RF)  is inserted into the nasal passage, delivering controlled energy to the tissues without causing any incisions or damage to surrounding structures. This energy effectively tightens and expands the soft tissues, thereby increasing the width of the nasal valve and improving airflow. The non-invasive nature of VivAer allows for minimal discomfort and a quick recovery, as it is performed in-office under local anesthesia. By addressing the anatomical factors contributing to nasal obstruction, VivAer significantly alleviates symptoms such as chronic congestion, difficulty breathing, and sleep disturbances, providing patients with lasting relief and improved quality of life. 

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One of the main benefits of VivAer is its minimal downtime. Most patients can return to their regular activities quickly, making it a convenient option for those with busy schedules. The results are often felt immediately, with a noticeable reduction in congestion and an overall improvement in breathing. VivAer is ideal for individuals seeking long-term relief from nasal obstruction without the risks and recovery time associated with more invasive procedures.

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The VivAer Procedure in Action

Get an in-depth look at the VivAer procedure and how it can decrease nasal congestion.

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How do I know if I need a VivAer procedure?

Determining if a VivAer procedure is needed typically involves additional tests, like a nasal endoscopy and a CT scan, to better understand the degree of obstruction. Patients who are good candidates for VivAer are often those who experience chronic nasal congestion that has not improved with medications like nasal sprays or antihistamines. The procedure is ideal for those whose symptoms significantly impact their daily activities, sleep quality, or ability to breathe through their nose. Common symptoms that might indicate the need for a VivAer procedure include:

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• Chronic nasal congestion or stuffiness, especially on one side of the nose.
• Difficulty breathing through the nose, particularly during physical activity or while lying down.
• A persistent feeling of blockage or obstruction in the nasal passages.
• Snoring or sleep disturbances caused by nasal breathing difficulties.
• Frequent reliance on decongestants or nasal sprays with little long-term relief.
• Reduced airflow during inhalation, creating a sensation of breathing through a narrow or constricted space.

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If a patient presents with several of these symptoms and other treatments have not provided lasting relief, we may recommend VivAer as an effective solution to improve nasal airflow.

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Effectiveness of VivAer

The VivAer treatment's effectiveness  is well-documented, with many patients reporting significant improvements in their symptoms following the procedure. Clinical studies have shown that VivAer successfully increased nasal airflow by effectively reshaping the nasal valve area, which is critical for alleviating chronic nasal obstruction. Most patients experience immediate relief from congestion and improved breathing ability, with studies indicating that a large percentage of individuals continue to enjoy these benefits for several years post-treatment. The non-invasive nature of VivAer minimizes discomfort and allows for a quicker recovery than traditional surgical options. 

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As a result, patients often find that their overall quality of life improves, with better sleep patterns, enhanced physical activity, and a reduction in the reliance on medications for nasal congestion. This combination of immediate and long-lasting results makes VivAer a highly effective option for those struggling with nasal obstruction.

VivAer procedure cost

A VivAer procedure's cost can vary depending on various factors. The good news for many patients is that the procedure is often covered by insurance plans, as it is considered medically necessary in cases of chronic nasal obstruction that significantly affects quality of life. Patients are encouraged to check with their insurance company and consult with their provider to determine coverage details, out-of-pocket costs, and any payment plan options that may be available.

VivAer side effects 

Like any medical procedure, VivAer nasal airway remodeling may have some potential side effects, although they are typically mild and temporary. Common side effects can include swelling, tenderness, or minor discomfort around the nose, which usually resolves within a few days. Some patients may experience temporary congestion or stuffiness as the nasal tissues heal, but this often improves quickly. In rare cases, there could be slight bruising or minor nosebleeds following the procedure. 

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Because VivAer uses controlled, low-temperature radiofrequency energy to reshape the nasal tissues without incisions, the risk of more serious complications, such as infection or scarring, is very low compared to traditional surgical approaches. Most patients find the recovery process to be smooth, with minimal disruption to their daily activities, and can expect to experience significant improvement in their breathing as early as the day after the procedure.

VivAer post-op instructions

After the procedure, patients are typically given specific VivAer post-op instructions to ensure a smooth recovery and optimal results. It is common for patients to experience mild swelling, tenderness, or congestion for a few days after the procedure. To reduce swelling, patients may be advised to keep their head elevated, even while sleeping, and to use cold compresses around the nose as needed. Over-the-counter pain relievers like acetaminophen can help manage any discomfort, though stronger pain medications are usually not necessary. 

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Patients are advised to avoid strenuous activities, heavy lifting, and bending over for at least a few days to minimize pressure on the nasal passages. It is also recommended to avoid blowing the nose forcefully during the first week to allow the tissues to heal properly. Saline nasal sprays can be used to keep the nasal passages moist and to ease any temporary congestion. Following these post-op instructions closely helps ensure a faster and more comfortable recovery.

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Where can I get a VivAer procedure?

At Aspire Allergy & Sinus, we are proud to offer the VivAer nose procedure as part of our comprehensive approach to addressing nasal obstruction and improving patient comfort. During a consultation, our provider will assess the patient's symptoms and medical history and may perform a physical examination of the nasal passages to identify areas of restriction or blockage, such as the nasal valve. To ensure patients do not have any other underlying nasal issues, additional tests, like a nasal endoscopy and a CT scan, might be used to better understand the degree of obstruction. By providing a detailed assessment and utilizing advanced imaging, we ensure each patient receives the most effective and tailored care possible.

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FAQs about the VivAer procedure

What is the typical recovery time for a VivAer procedure?

The VivAer recovery time is generally quick, making it a convenient option for those seeking relief from nasal obstruction with minimal disruption to their daily routines. Most patients are able to return to normal activities within 24 to 48 hours after the procedure. While some patients may experience mild swelling, congestion, or tenderness around the nose for a few days following the procedure, these symptoms usually resolve on their own without the need for extensive downtime. The ability to resume regular activities quickly, combined with the significant and lasting relief, makes VivAer an appealing option for those looking to address chronic nasal obstruction without a lengthy recovery process.

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Is VivAer permanent?

VivAer is designed to provide long-lasting relief from nasal obstruction by remodeling the nasal valve area. While many patients experience significant and lasting improvement in their breathing and reduction in congestion symptoms, it's important to note that the results can vary from person to person. Most patients enjoy sustained benefits for several years, but factors such as the natural aging process, changes in nasal anatomy, or the development of new allergies can impact the procedure's long-term effectiveness. Regular follow-ups with your healthcare provider can help monitor your symptoms and determine if any additional treatments are needed over time. Overall, many patients find that VivAer provides a durable solution for their nasal obstruction, enhancing their quality of life.

Is VivAer FDA approved?

Yes, VivAer is FDA-approved for the treatment of nasal obstruction. The device has undergone extensive testing to demonstrate its safety and effectiveness in remodeling the nasal valve area. The approval signifies that VivAer meets the standards set by the FDA for medical devices. 

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Are there age restrictions for VivAer?

VivAer does not have strict age restrictions, but it is typically recommended for adults and older adolescents who are experiencing chronic nasal obstruction. However, each patient is unique, and the decision to proceed with VivAer should be based on a thorough evaluation by a qualified healthcare provider. We will assess your specific symptoms, medical history, and overall health to determine if you are a suitable candidate for the procedure. 

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Seek relief with the VivAer Procedure from Aspire Allergy & Sinus

The VivAer nasal procedure offers a safe and effective solution for individuals struggling with nasal obstruction, significantly enhancing airflow and improving overall breathing quality. By targeting the nasal valve area, VivAer provides long-lasting relief from chronic congestion with minimal downtime, making it an attractive option for those seeking better nasal function. If you believe VivAer could be the right choice for you or have further questions about the procedure, we encourage you to take the next step toward improved nasal health. Schedule a consultation online today to discuss your symptoms and explore personalized treatment options with our experienced team at Aspire Allergy & Sinus. Your journey to easier breathing starts here!