I Have Issues Breathing Through My Nose: Do I Need Surgery?

If you struggle daily with nasal congestion or restricted airflow, you may be surprised to learn that breathing through your nose should feel effortless. 

The good news is that effective treatments — both surgical and nonsurgical — for impaired nasal breathing exist. Our team at Silicon Valley ENT & Sinus Center, led by ENT specialist Dr. Phillip Ho, can identify the underlying problem and develop a treatment tailored to your needs.

Here’s a look at the most common causes of obstructed nasal breathing and what we can do to help you find lasting relief and better overall health.

Common causes of obstructed nasal breathing

Nasal obstruction can occur for several reasons. Some of the most frequent causes include a deviated septum, enlarged turbinates, nasal polyps, chronic sinus inflammation, or nasal valve collapse.

In many cases, these conditions develop gradually, making symptoms feel “normal” over time. Environmental factors also play a role. Allergies, environmental irritants, and infections can worsen underlying structural issues, leading to persistent nasal congestion or difficulty breathing.

Identifying whether your symptoms are structural, inflammatory, or a combination of both is key to determining the best treatment plan.

When is surgery considered?

Surgery is not always necessary. However, if medications, nasal sprays, and lifestyle changes have not improved your symptoms, a surgical approach may be the best option.

Your initial evaluation at Silicon Valley ENT & Sinus Center includes a physical exam and, possibly, imaging studies. These help determine whether anatomical abnormalities are contributing to your breathing difficulties.

Types of ENT procedures

Based on your evaluation, Dr. Ho may recommend one of several procedures designed to improve nasal airflow, most of which are minimally invasive:

Balloon sinuplasty

During balloon sinuplasty, Dr. Ho passes a thin, flexible tube into your sinuses. He then inflates a tiny balloon at the end of the tube, flattening the inflamed tissues and creating space that allows mucus to drain.

Septoplasty

This procedure corrects a deviated septum, the wall between the nostrils. By straightening the septum, airflow becomes more balanced and less restricted.

Turbinate reduction

Turbinates (conchae) are structures inside the nose that humidify air. When they become enlarged, they can block airflow. Reducing their size can significantly improve breathing.

Endoscopic sinus surgery

For patients with chronic sinusitis, this minimally invasive procedure clears blocked sinus passages, reducing inflammation and improving airflow.

Nasal valve repair

The nasal valve is a critical area for airflow. If it collapses or narrows, breathing can become difficult. Surgical repair strengthens and opens this region.

Polyp removal

Nasal polyps are soft growths that can obstruct airflow. Removing them can restore normal breathing, especially in patients with chronic inflammation.

VivAER®

VivAER is an in-office procedure that uses radiofrequency to remodel soft tissues in your nasal passages, improving your breathing.

RhinAER®

RhinAER also uses radiofrequency energy to reduce tissue swelling and calm the nerves that produce mucus.

ClariFix®

ClariFix uses cryotherapy to calm overactive nasal nerves.

Why treatment matters

Struggling to breathe through your nose is more than just an inconvenience. It can impact your sleep, energy levels, and overall well-being. Fortunately, both surgical and nonsurgical solutions are available to help you breathe more comfortably.

Take the first step toward relief today by scheduling an evaluation with Dr. Ho by calling or messaging Silicon Valley ENT & Sinus Center in Los Gatos, California.