Breathe better through your nose
If chronic nasal congestion or difficulty breathing through your nose is affecting your sleep, exercise, or everyday life, Vivaer® may offer a minimally invasive treatment option.
Vivaer uses controlled radiofrequency energy to reshape targeted tissue inside the nose and improve the nasal airway. The procedure is designed to address the underlying anatomy contributing to nasal airway obstruction without traditional nasal surgery.
Dr. Jonathan Harounian provides Vivaer treatment in Great Neck, Long Island, NY following a comprehensive ENT evaluation.
Difficulty breathing through your nose can affect much more than your ability to breathe comfortably.
Common symptoms include:
Nasal Congestion
A persistent feeling of blockage or stuffiness, particularly when breathing through the nose.
Difficulty Breathing Through Your Nose
Nasal airflow may feel restricted during exercise, sleep, or everyday activities.
Mouth Breathing
Chronic nasal obstruction can cause you to rely on mouth breathing, particularly at night.
Sleep Disruption
Nasal obstruction may contribute to difficulty sleeping, dry mouth, or nighttime breathing discomfort.
If nasal congestion persists despite medications or nasal sprays, an ENT evaluation can help determine whether structural nasal airway obstruction is contributing to your symptoms.
Vivaer is a minimally invasive, temperature-controlled radiofrequency treatment designed to improve nasal breathing.
The Vivaer system delivers controlled radiofrequency energy to specific areas of the nasal airway. The targeted tissue is then reshaped to improve airflow through the nose.
Unlike traditional nasal surgery, Vivaer is performed through the nostril without external incisions.
Potential benefits include:
Vivaer is not appropriate for every patient. Treatment candidacy depends on the cause of your obstruction, nasal anatomy, medical history, and previous treatments.
Nasal obstruction can have multiple causes, including:
In some patients, more than one factor contributes to difficulty breathing.
A comprehensive ENT examination is important to identify the specific areas contributing to your obstruction and determine which treatment is most appropriate.
Vivaer uses controlled radiofrequency energy to target specific tissue within the nasal airway.
The treatment is designed to remodel and reshape the targeted tissue, creating more space for airflow.
Because treatment is performed through the nostrils, there are no external facial incisions.
The exact treatment areas depend on your individual anatomy and the source of your nasal obstruction.
Vivaer may be considered for adults who experience persistent nasal airway obstruction, particularly when symptoms continue despite medical treatment.
You may be a candidate if you experience:
An ENT evaluation is necessary to determine whether Vivaer is appropriate or whether another treatment—such as septoplasty, turbinate reduction, medical therapy, or a combination of approaches—would provide a better solution.
Dr. Harounian will evaluate your symptoms, nasal anatomy, medical history, and previous treatments to identify the source of your nasal obstruction.
If you are an appropriate candidate, controlled radiofrequency energy is delivered to targeted areas inside the nose using the Vivaer system.
The procedure is performed through the nostril without external incisions.
Your clinician will provide individualized post-treatment instructions and monitor your progress.
Temporary congestion, swelling, discomfort, crusting, or other nasal symptoms may occur during the healing process.
Improvement varies between patients and may develop gradually.
Clinical studies have demonstrated improvement in nasal obstruction and patient-reported nasal breathing following Vivaer treatment.
Studies have reported sustained improvement in nasal obstruction symptoms and quality-of-life measures following treatment.
Individual results vary, and clinical study outcomes cannot guarantee a particular result for an individual patient.
Vivaer is not a replacement for every type of nasal surgery.
Patients with significant septal deviation, turbinate hypertrophy, or other structural abnormalities may benefit from procedures such as septoplasty or turbinate reduction.
For appropriately selected patients, however, Vivaer may provide a minimally invasive alternative for addressing specific areas of nasal airway obstruction.
The best treatment depends on the underlying anatomy and cause of your symptoms.
Effective treatment of nasal obstruction begins with understanding why you cannot breathe well through your nose.
Dr. Jonathan Harounian combines advanced ENT expertise with a facial plastic surgery perspective to evaluate the nasal airway comprehensively—including the nasal valve, septum, turbinates, and surrounding anatomy.
Rather than treating congestion alone, the goal is to identify the underlying cause of your obstruction and develop an individualized treatment plan.
Patients throughout Great Neck, Long Island, Nassau County, and the surrounding New York area can receive comprehensive evaluation and treatment.
Is Vivaer surgery?
Vivaer is a minimally invasive procedure performed through the nostril using controlled radiofrequency energy. It does not require external incisions.
Does Vivaer hurt?
The level of discomfort varies between patients. Appropriate anesthesia and comfort measures are used according to the treatment protocol.
How long does Vivaer take?
Treatment time varies depending on your anatomy and the areas being treated. Specific timing can be discussed during your consultation.
How quickly will I notice improvement?
Improvement varies between patients and may develop gradually as the treated tissue heals.
How long do Vivaer results last?
Clinical studies have demonstrated sustained improvement following treatment, although individual results vary and no specific duration of benefit can be guaranteed.
Can Vivaer treat a deviated septum?
Vivaer does not straighten a deviated septum. If septal deviation is a significant cause of obstruction, septoplasty or another treatment may be more appropriate.
Can Vivaer treat enlarged turbinates?
Depending on the specific anatomy, turbinate enlargement may contribute to nasal obstruction and may require a different or additional treatment. Your ENT evaluation will determine the appropriate approach.
Can I use Vivaer if nasal sprays have not worked?
Potentially. Vivaer may be considered when nasal obstruction persists despite appropriate medical therapy. However, the underlying cause of the obstruction must first be evaluated.
Am I a candidate for Vivaer?
The best way to determine candidacy is through a comprehensive ENT evaluation. Your symptoms, nasal anatomy, medical history, and previous treatments will be reviewed before treatment is recommended.
If chronic nasal obstruction is making it difficult to breathe comfortably, sleep well, or stay active, you may have treatment options beyond medication.
A comprehensive ENT evaluation can determine whether Vivaer is appropriate—or whether another treatment would better address the cause of your nasal obstruction.
Request a Vivaer consultation with Dr. Jonathan Harounian in Great Neck, NY.
Jonathan Harounian, MD
1000 Northern Blvd, Suite 220
Great Neck, NY 11021
