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When Is Nasal Valve Repair Necessary?

A man with short dark hair and a neatly trimmed beard looks at the camera with a slight smile, against a plain gray background.

If you experience chronic nasal congestion or difficulty breathing through your nose—especially during exercise or at night—you may be suffering from nasal valve collapse or nasal valve obstruction. This often-overlooked condition can have a major impact on both breathing function and the appearance of the nose. For patients in New York City, Dr. Maurice M. Khosh is a nationally recognized expert in the diagnosis and surgical treatment of nasal valve issues, offering advanced techniques and long-term relief.

The nasal valve is the narrowest part of the nasal airway, made up of cartilage and soft tissue located in the lower third of the nose. It plays a critical role in regulating airflow. When this area is weakened, narrowed, or compromised—either from trauma, surgery, or structural abnormalities—it can collapse inward during breathing, leading to nasal obstruction, snoring, fatigue, mouth breathing, and a reduced quality of life.

Common Causes and Symptoms of Nasal Valve Collapse

Nasal valve collapse or stenosis can be congenital, but is more often acquired due to:

  • Previous rhinoplasty or nasal surgery
  • Trauma or injury to the nose
  • Age-related tissue weakening
  • Structural conditions like a deviated septum or weak cartilage support

Symptoms may include:

  • Persistent nasal congestion
  • Difficulty breathing through one or both nostrils
  • Increased obstruction during inhalation (especially with deep breaths)
  • A whistling sound when breathing
  • Trouble sleeping or reduced exercise endurance

These symptoms are not only disruptive, but they also often fail to improve with medication such as decongestants or nasal sprays. When the nasal valve is structurally compromised, surgery is the only permanent solution.

Why You Need a Nasal Specialist

Because the nasal valve is such a delicate and functionally important area, it requires precise evaluation and expert technique to correct. Surgical repair can involve cartilage grafting, spreader grafts, flaring sutures, or reconstructive techniques to strengthen and widen the airway while preserving the natural contour of the nose.

Dr. Maurice M. Khosh is a double board-certified facial plastic and reconstructive surgeon and nasal specialist, with unparalleled experience in nasal valve repair and nasal vestibular stenosis treatment. He published one of the first scientific articles on managing nasal valve obstruction in the Archives of Facial Plastic Surgery, establishing his reputation as a leader in this field. He has also lectured at national conferences and led seminars on how to prevent and treat nasal valve collapse, especially in the context of rhinoplasty.

Nasal Valve Repair and Aesthetic Concerns

In addition to restoring breathing, nasal valve repair can subtly improve the external shape and symmetry of the nose. For patients whose obstruction results from previous rhinoplasty or trauma, revision surgery can simultaneously address both form and function. Dr. Khosh carefully designs each treatment plan to ensure natural-looking results that enhance airflow without compromising the aesthetics of the nose.

Take the First Step Toward Better Breathing

Nasal obstruction due to valve collapse doesn’t have to be a lifelong problem. If you’re tired of struggling to breathe, relying on nasal strips, or dealing with failed treatments, it may be time to consult an expert.

Dr. Maurice M. Khosh in New York City is a leading authority in nasal valve repair surgery, known for his innovative approach, meticulous technique, and commitment to personalized care. Contact our office today to schedule a consultation and find out if nasal valve repair is right for you.

Posted on behalf of Maurice M. Khosh, MD, FACS

Maurice M. Khosh, MD, FACS
580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9988

What Dr. Khosh's Patients Say

5.0

Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.