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Procedures and Treatments

Procedures & Treatments

Advanced surgical techniques and minimally invasive treatments performed by fellowship-trained surgeons.

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Featured Procedures

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Advanced Frontal Sinus Surgery

Advanced frontal sinus procedures are reserved for frontal sinus disease that cannot be managed with medical therapy or a more limited drainage procedure.

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Advanced Frontal Sinus Surgery

Rhinology and Skull Base

Rhinology and Skull Base

Advanced Frontal Sinus Surgery

Advanced frontal sinus procedures are reserved for frontal sinus disease that cannot be managed with medical therapy or a more limited drainage procedure.

Rhinology and Skull Base

Balloon Sinuplasty

Balloon sinus dilation can widen selected sinus openings without removing tissue, but it is not the right treatment for every form of sinus disease.

Rhinology and Skull Base

Endoscopic CSF Leak Repair

Successful CSF leak repair depends on confirming the leak, locating the defect, understanding why it occurred, and building a closure suited to its size, flow, and anatomy.

Rhinology and Skull Base

Endoscopic Pituitary Surgery

Endoscopic pituitary surgery reaches selected pituitary and sellar lesions through the nasal corridor, with the decision guided by hormones, vision, and imaging.

Rhinology and Skull Base

Endoscopic Sinus Surgery

Endoscopic sinus surgery improves drainage, removes obstructive disease, and creates access for ongoing topical treatment when medical therapy is not enough.

Rhinology and Skull Base

Endoscopic Skull Base Surgery

Endoscopic endonasal skull base surgery reaches selected lesions through the nose, avoiding some external incisions while requiring careful planning around the brain, optic nerves, carotid arteries, pituitary, and cranial nerves.

Rhinology and Skull Base

Image-Guided Sinus Surgery

Surgical navigation links instruments to a patient's preoperative scan to provide an additional localization tool during selected complex sinus and skull-base operations.

Rhinology and Skull Base

Revision Sinus Surgery

A revision evaluation reconstructs the original diagnosis and operation, reviews imaging and pathology, and defines the specific problem a second sinus procedure would solve before recommending more surgery.

Rhinology and Skull Base

Sinus Surgery Recovery

Recovery after sinus surgery is shaped by the diagnosis, extent of surgery, and the treating team's instructions, which separate expected congestion and drainage from same-day concerns over the first month.

Rhinology and Skull Base

Skull Base Fracture Repair

Most skull-base fractures are first managed in a trauma hospital and not every fracture needs surgery; repair is considered for defined complications such as a persistent CSF leak or unstable defect.

Rhinology and Skull Base

Steroid Implant for Nasal Polyps

Steroid-eluting sinus implants deliver anti-inflammatory medicine locally in selected postoperative or recurrent-polyp situations, as one part of a broader plan for nasal polyps.

Rhinology and Skull Base

Vidian Neurectomy

Vidian neurectomy is a more invasive nerve procedure reserved for selected severe, treatment-resistant rhinitis, with careful attention to dry-eye risk and less invasive alternatives.

Rhinology and Skull Base

Nasal Valve Repair

Nasal valve repair begins with a dynamic examination and a complete airway diagnosis before considering grafts, implants, or other techniques to improve breathing.

Rhinology and Skull Base

Posterior Nasal Nerve Ablation

Posterior nasal nerve ablation is an office-based option for selected patients with chronic rhinitis that remains bothersome despite appropriate medical care.

Rhinology and Skull Base

Risks and Complications of Sinus Surgery

Every sinus operation has potential complications, and this guide supports informed consent by explaining common temporary effects, less common complications, and the symptoms that need immediate help.

Facial Plastics and Reconstructive Surgery

Blepharoplasty

Blepharoplasty is eyelid surgery that removes or repositions excess skin, muscle, or fat from the upper or lower eyelids to address heaviness, puffiness, or a tired appearance, and in some cases to improve a visual field limited by drooping skin.

Facial Plastics and Reconstructive Surgery

Botox for Facial Paralysis

Botulinum toxin (Botox) for facial paralysis uses small, targeted injections to relax overactive or tight muscles, ease synkinesis, and improve facial symmetry at rest and with movement.

Facial Plastics and Reconstructive Surgery

Browlift

A brow lift raises and stabilizes a low or heavy eyebrow position to open the upper eye, reduce forehead heaviness, and create a more rested appearance.

Facial Plastics and Reconstructive Surgery

Cross-Face Nerve Graft

A cross-face nerve graft borrows signals from working facial nerve branches on the healthy side of the face, routing them across to the paralyzed side to support a more spontaneous, natural smile.

Facial Plastics and Reconstructive Surgery

Ectropion Surgery

Ectropion surgery repositions a lower eyelid that turns outward, restoring normal contact with the eye to relieve tearing, irritation, and dryness and to help protect the eye surface.

Facial Plastics and Reconstructive Surgery

Entropion Surgery

Entropion surgery repositions a lower eyelid that turns inward, stopping the lashes and skin from rubbing against the eye to relieve irritation and help protect the cornea.

Facial Plastics and Reconstructive Surgery

Facelift

Facelift, or rhytidectomy, is a surgical procedure that repositions and tightens the deeper tissues of the lower face and neck to reduce sagging and restore a more rested facial contour.

Facial Plastics and Reconstructive Surgery

Facial Fracture Repair

Facial fracture repair is surgery to realign and stabilize broken bones of the face, such as the nose, cheek, eye socket, or jaw, to restore facial structure, function, and appearance.

Facial Plastics and Reconstructive Surgery

Facial Nerve Repair

Facial nerve repair refers to surgical techniques used to restore continuity or input to the facial nerve after injury, with the goal of recovering facial movement and protecting the eye.

Facial Plastics and Reconstructive Surgery

Facial Physical Therapy

Facial physical therapy, also called facial neuromuscular retraining, is a nonsurgical, exercise-based program that helps people with facial paralysis or synkinesis improve movement, symmetry, and control.

Facial Plastics and Reconstructive Surgery

Fillers for Facial Paralysis

Fillers for facial paralysis use injectable soft-tissue fillers to improve facial symmetry at rest by adding volume or balancing contours affected by facial nerve weakness.

Head and Neck

Free Flaps

A free flap, or free tissue transfer, moves living tissue with its own blood vessels from a donor site to the head and neck, reconnecting the vessels under a microscope. The flap is chosen to match the defect and the function being restored, not because one donor site suits every patient.

Facial Plastics and Reconstructive Surgery

Free Grafts

A free graft transfers skin, cartilage, or composite tissue from one part of the body to reconstruct a facial defect, restoring coverage, contour, and support after skin cancer removal, trauma, or prior surgery.

Facial Plastics and Reconstructive Surgery

Gracilis Free Tissue Transfer

Gracilis free tissue transfer is a microsurgical procedure that moves a small segment of thigh muscle to the face to restore the ability to smile in long-standing or complete facial paralysis.

Facial Plastics and Reconstructive Surgery

Hypoglossal to Facial Nerve Transfer

A hypoglossal-to-facial nerve transfer reroutes part of the tongue's nerve to the facial nerve to restore facial muscle tone and movement when the facial nerve is injured but the facial muscles are still healthy.

Facial Plastics and Reconstructive Surgery

Lower Eyelid Retraction Surgery

Lower eyelid retraction surgery raises and supports a lower eyelid that sits too low or pulls away from the eye, improving eye closure, comfort, and protection of the eye surface.

Facial Plastics and Reconstructive Surgery

Masseter to Facial Nerve Transfer

A masseter-to-facial nerve transfer connects the chewing-muscle nerve to the facial nerve to restore smile movement in facial paralysis when the facial muscles are still healthy.

Facial Plastics and Reconstructive Surgery

Mentalis Resection

Mentalis resection is a procedure that weakens or partially removes the mentalis muscle of the chin to reduce chin dimpling, puckering, or excessive muscle activity.

Facial Plastics and Reconstructive Surgery

Mohs Reconstruction

Mohs reconstruction restores facial form and function after skin cancer removal, with planning focused on the defect, surrounding tissue, scar placement, and function such as eyelid closure and nasal breathing.

Facial Plastics and Reconstructive Surgery

Nasal Septal Perforation Surgery

Nasal septal perforation surgery repairs a hole in the nasal septum to relieve crusting, bleeding, whistling, and congestion and to restore the septal lining.

Facial Plastics and Reconstructive Surgery

Nostril Reduction

Nostril reduction, or alar base reduction, narrows wide or flared nostrils and refines the base of the nose, often as part of or after rhinoplasty.

Facial Plastics and Reconstructive Surgery

Ptosis Surgery

Ptosis surgery lifts a drooping upper eyelid by tightening or repositioning the muscle that raises the lid, improving eyelid position and, when vision is affected, the field of view.

Facial Plastics and Reconstructive Surgery

Revision Rhinoplasty

Revision rhinoplasty addresses breathing problems or appearance concerns that remain or develop after a previous nose surgery, often using grafts to rebuild support.

Facial Plastics and Reconstructive Surgery

Rhinoplasty

Rhinoplasty reshapes the nose to change its appearance, improve nasal breathing, or both, with a plan tailored to your anatomy and goals.

Facial Plastics and Reconstructive Surgery

Scar Revision

Scar revision improves the appearance of a scar—from surgery, injury, or skin cancer removal—by repositioning, resurfacing, or refining it to blend with surrounding skin.

Facial Plastics and Reconstructive Surgery

Selective Denervation

Selective denervation is a surgical treatment for facial synkinesis that interrupts overactive nerve branches to relax specific muscles and improve facial balance and movement.

Facial Plastics and Reconstructive Surgery

Septoplasty

Septoplasty is a surgical procedure that straightens a deviated nasal septum to improve airflow when a crooked or displaced septum blocks breathing through the nose.

Facial Plastics and Reconstructive Surgery

Static Suspension

Static suspension uses a graft or suture sling to lift and reposition sagging facial structures in facial paralysis, improving symmetry at rest without restoring movement.

Facial Plastics and Reconstructive Surgery

Temporalis Tendon Transfer

Temporalis tendon transfer repurposes the temporalis chewing muscle to restore a dynamic smile in established facial paralysis when the facial nerve cannot be repaired.

Facial Plastics and Reconstructive Surgery

Turbinoplasty

Turbinoplasty reduces or reshapes enlarged nasal turbinates to improve airflow while preserving the turbinate's role in warming and humidifying the air.

Facial Plastics and Reconstructive Surgery

Upper Eyelid Weight Surgery

Upper eyelid weight surgery places a small gold or platinum implant in the upper eyelid to help it close in facial paralysis, protecting the eye when blinking is impaired.

Head and Neck

Head and Neck Reconstruction

Reconstruction does more than close a wound. It restores lining, bulk, support, contour, and a platform for swallowing, speech, dental rehabilitation, and future treatment, with the method matched to the specific defect.

Head and Neck

Laryngeal Cancer Surgery

Surgery for laryngeal cancer ranges from a limited endoscopic procedure to partial or total laryngectomy. The right operation balances cancer control with whether the remaining larynx can provide a safe airway, useful voice, and effective swallowing.

Head and Neck

Neck Dissection

Neck dissection removes lymph nodes from defined levels of the neck to treat or stage head and neck cancer. The extent is matched to the tumor and to imaging, with the aim of thorough cancer control while protecting shoulder function, nerves, and major vessels.

Head and Neck

Oral Cancer Surgery

Oral cancer surgery removes the tumor with a healthy margin and, when needed, treats the neck lymph nodes and reconstructs the area. The plan balances complete cancer removal with preserving speech, chewing, and swallowing.

Head and Neck

Parathyroid Surgery

Parathyroid surgery removes the overactive gland or glands causing primary hyperparathyroidism. The plan depends on a confirmed biochemical diagnosis and on localization, with the choice between a focused operation and bilateral exploration made for each person.

Head and Neck

Parotidectomy

Parotidectomy removes part or all of the parotid gland to treat a tumor or persistent gland problem. The central decision is how much gland to remove while identifying and protecting the facial nerve.

Head and Neck

Salivary Gland Surgery

Salivary gland surgery treats tumors, stones, strictures, chronic infection, or cysts, and the right procedure ranges from gland-preserving techniques to removal of part or all of a gland, chosen to fit the diagnosis while protecting nearby nerves.

Head and Neck

Submandibular Gland Excision

Submandibular gland excision removes the salivary gland beneath the jaw through a neck incision. It may be considered for a tumor, severe chronic obstruction or infection, or stones that cannot be treated with a gland-preserving approach.

Head and Neck

Thyroid Surgery

Thyroid surgery may remove one lobe, nearly all, or all of the gland. The right extent depends on the diagnosis, both-lobe anatomy, lymph nodes, hormone status, symptoms, future surveillance, and the patient's preferences.

Head and Neck

Thyroid Ultrasound and FNA Biopsy

A thyroid FNA is a targeted diagnostic test, not a routine step for every nodule. Ultrasound features and size determine whether a biopsy is likely to help, and the result must be translated into a concrete next decision.

Head and Neck

Transoral Robotic Surgery

Transoral robotic surgery allows selected tumors of the tonsil and tongue base to be removed through the mouth. The key question is not whether a robot can reach the tumor, but whether TORS improves the total treatment plan without creating unsafe margins, bleeding risk, poor function, or avoidable combined therapy.

Head and Neck

Recovery After Head and Neck Surgery

Recovery varies widely, from an outpatient biopsy to a major operation with neck dissection and free-flap reconstruction. A useful plan sets individual milestones for airway, pain, wounds, drains, nutrition, communication, swallowing, mobility, and return to daily life.

Sleep

CPAP Therapy

CPAP therapy uses a mask and a quiet airflow generator to keep the upper airway open during sleep, and is a first-line treatment for obstructive sleep apnea.

Sleep

Home Sleep Apnea Test

A home sleep apnea test is a simplified, take-home study that records breathing, oxygen levels, and effort overnight to help diagnose obstructive sleep apnea.

Sleep

Inspire Therapy

Inspire therapy is an implanted upper-airway stimulation device that gently moves the tongue forward during sleep to keep the airway open, used for selected patients with obstructive sleep apnea who cannot tolerate CPAP.

Sleep

Mandibular Advancement Device

A mandibular advancement device is a custom oral appliance worn during sleep that holds the lower jaw slightly forward to keep the airway open, used for snoring and mild to moderate obstructive sleep apnea.

Sleep

Maxillomandibular Advancement

Maxillomandibular advancement is a jaw surgery that moves the upper and lower jaws forward to enlarge the entire upper airway, used for selected patients with moderate to severe obstructive sleep apnea.

Sleep

Nasal Valve Treatment for Sleep Apnea

Nasal valve treatment addresses narrowing or collapse of the nasal valve to improve nasal breathing, which can reduce snoring and help patients tolerate CPAP for sleep apnea.

Sleep

Septoplasty for Sleep Apnea

Septoplasty straightens a deviated nasal septum to improve nasal breathing, which can reduce snoring and help patients tolerate CPAP for obstructive sleep apnea.

Sleep

Sleep Endoscopy

Drug-induced sleep endoscopy is a short procedure that examines the airway during medication-induced sleep to identify where and how it collapses, guiding treatment choices for obstructive sleep apnea.

Sleep

Sleep Study

A sleep study (polysomnography) is an overnight test that records breathing, oxygen, brain waves, and movement to diagnose obstructive sleep apnea and other sleep disorders.

Sleep

Sliding Genioplasty

Sliding genioplasty repositions the chin segment of the lower jaw forward, advancing the tongue's muscle attachments to help open the airway in selected patients with obstructive sleep apnea.

Sleep

Tonsillectomy and Adenoidectomy for Sleep-Disordered Breathing

Removing enlarged tonsils and adenoids is a common treatment for sleep-disordered breathing, particularly in children, when these tissues block the airway during sleep.

Sleep

Turbinate Reduction for Sleep Apnea

Turbinate reduction shrinks enlarged nasal turbinates to improve nasal airflow, which can reduce snoring and help patients tolerate CPAP for obstructive sleep apnea.

Sleep

UPPP

Uvulopalatopharyngoplasty (UPPP) removes or repositions excess tissue in the soft palate and throat to widen the airway, used for selected patients with obstructive sleep apnea and snoring.

Allergy

Allergy Testing

In-office testing to identify environmental and seasonal allergy triggers and guide avoidance, medication, and immunotherapy.

Allergy

Immunotherapy

Treatment that gradually reduces sensitivity to specific allergens over time.

Norelle Health General Surgery

Laparoscopic Inguinal Hernia Repair

A minimally invasive procedure to repair an inguinal hernia through several small incisions.

Norelle Health General Surgery

Umbilical Hernia Repair

A procedure to repair a hernia at or near the navel and reinforce the abdominal wall.

Norelle Health General Surgery

Ventral and Incisional Hernia Repair

A procedure to repair a hernia in the front of the abdominal wall, including at a prior incision.

Norelle Health General Surgery

Laparoscopic Cholecystectomy

Minimally invasive removal of the gallbladder, commonly performed for symptomatic gallstones.

Norelle Health General Surgery

Appendectomy

Surgical removal of the appendix, commonly performed to treat appendicitis.

Norelle Health General Surgery

Lipoma Excision

Surgical removal of a lipoma, a noncancerous fatty growth beneath the skin.

Norelle Health General Surgery

Cyst Excision

Surgical removal of a skin cyst, such as a sebaceous or epidermoid cyst.

Norelle Health General Surgery

Hemorrhoidectomy

A surgical procedure to remove hemorrhoids that have not improved with conservative care.

Norelle Health General Surgery

Anti-Reflux Surgery (Fundoplication)

A procedure to treat persistent acid reflux by reinforcing the valve between the stomach and esophagus.

Rhinology and Skull Base

Orbital Decompression

Orbital decompression makes more room for the eye by removing bone, fat, or both around the eye socket, most often for thyroid eye disease that causes bulging, pressure, or vision concerns.

Rhinology and Skull Base

Dacryocystorhinostomy (DCR)

Dacryocystorhinostomy (DCR) treats a blocked tear duct by creating a new drainage opening between the tear sac and the nose, often done endoscopically through the nostril, which generally avoids a skin incision.

Rhinology and Skull Base

Endoscopic Orbital Surgery

Endoscopic orbital surgery reaches selected problems of the eye socket through the nose and sinuses, used in chosen cases for decompression, abscess drainage, biopsy, or tumor surgery alongside ophthalmology.

Rhinology and Skull Base

Postoperative Sinus Debridement

Postoperative sinus debridement is an in-office cleaning after sinus surgery that removes crusts, clots, and debris so the sinuses heal well and the newly opened drainage pathways stay clear.

Rhinology and Skull Base

Skull Base Reconstruction

Skull base reconstruction rebuilds the barrier between the nose and the brain after skull-base surgery or a CSF leak, using grafts and flaps to seal the defect and reduce the risk of leak and infection.

Head and Neck

Laryngectomy Surgery and Recovery

Total laryngectomy removes the voice box and permanently separates the airway from the mouth, nose, and throat. Planning focuses on why the operation is recommended, whether reconstruction is needed, and how breathing, communication, and swallowing will be supported.

Head and Neck

Head and Neck Cancer Surgery

Head and neck cancer surgery is a family of operations, not one procedure. A clear plan defines the oncologic goal, the structures at risk, the expected defect, the reconstruction, and how you will breathe, speak, swallow, and recover.

Facial Plastics and Reconstructive Surgery

Functional Septorhinoplasty

Functional septorhinoplasty is a single operation that addresses the structures controlling nasal breathing — the septum, the nasal valves, the turbinates, and the cartilage framework — and, when desired, the external shape of the nose. It is planned around how the nose works, not appearance alone.

Facial Plastics and Reconstructive Surgery

Deep-Plane Facelift

A deep-plane facelift repositions the deeper layer of the face — the muscle and connective-tissue layer called the SMAS, along with its attachments — rather than pulling on skin. By releasing and lifting this layer as a unit, it aims to restore the position of sagging cheek and jawline tissue while keeping the face looking natural.

Facial Plastics and Reconstructive Surgery

Neck Lift

A neck lift restores a smoother, more defined neck and jawline by addressing the structures that change with age — loose skin, excess or descended fat, and the banding of the platysma muscle. It is often planned alongside a facelift, since the neck and lower face age together.

Facial Plastics and Reconstructive Surgery

Otoplasty

Otoplasty is surgery to reshape, reposition, or resize the outer ear. It is most often performed to set back prominent ears by recreating the natural folds of the ear cartilage and adjusting the position of the ear relative to the head, and it can be done in children and adults.

Facial Plastics and Reconstructive Surgery

Facial Fat Grafting

Facial fat grafting (fat transfer) uses a person's own fat — gently removed from one area of the body, processed, and reinjected into the face — to restore volume that has been lost with age or after injury or surgery. It addresses hollowing and flatness rather than sagging.

Facial Plastics and Reconstructive Surgery

Chin Augmentation

Chin augmentation increases the projection and definition of a recessed or weak chin to improve facial balance and the profile. It is performed with a chin implant or by repositioning the chin bone (sliding genioplasty), and is often planned alongside nose or neck procedures.

Facial Plastics and Reconstructive Surgery

Cosmetic Neuromodulators

Cosmetic neuromodulators are injectable botulinum toxin treatments — products such as Botox, Dysport, Xeomin, Jeuveau, and Daxxify — that temporarily relax specific facial muscles to soften the dynamic lines created by repeated expression. They treat lines caused by muscle movement, not the volume loss or skin-surface changes that other treatments address.

Facial Plastics and Reconstructive Surgery

Dermal Fillers

Dermal fillers are injectable gels — most commonly made of hyaluronic acid — that add or restore volume and refine contour in the face. They are used to address the deflation and shadowing of facial aging, to balance proportions, and to enhance features such as the lips, cheeks, chin, and jawline. Fillers treat volume and shape, not muscle-related lines or skin-surface quality.

Facial Plastics and Reconstructive Surgery

Laser Skin Resurfacing

Laser skin resurfacing uses focused light energy to improve the quality of the skin surface — fine lines, texture, uneven pigment, and sun damage — by precisely removing or heating layers of skin to prompt healing and new collagen. It treats the skin itself, rather than the volume loss or muscle movement that other treatments address.