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Chronic nasal congestion, difficulty breathing through the nose, and recurring sinus infections can significantly affect daily life, sleep quality, and overall health. When symptoms persist despite medication or allergy treatment, the underlying cause is often structural, not inflammatory.
At Heights Plastic Surgery, our Advanced ENT Treatments focus on identifying and correcting the anatomical causes of nasal, sinus, and airway dysfunction. Care is led by Dr. Megan Swonke, a fellowship-trained Otolaryngologist with advanced training in facial plastic surgery. This dual expertise allows for precise diagnosis and surgical correction while preserving the natural structure and appearance of the nose.
Our approach is direct, individualized, and centered on long-term functional improvement.
Advanced ENT treatments are specialized medical and surgical procedures designed to correct structural abnormalities of the nose, sinuses, and upper airway that interfere with normal breathing and sinus drainage.
Unlike general ENT care that focuses primarily on symptom management, advanced ENT treatment addresses the physical cause of obstruction. These procedures correct issues such as a deviated septum, enlarged turbinates, nasal valve collapse, or compromised sinus pathways.
Treatment plans are customized to each patient’s anatomy and symptoms, with a focus on restoring function while maintaining balanced nasal form.
ENT Treatments
also known as: /ˌiː.enˈtiː/
Procedure options: Nasal & Sinus Disorders, Functional & Structural Nasal Surgery, Skin Cancer Diagnosis & Reconstruction, Facial Reconstruction & Scar Revision
Procedure Overview
Addresses
Chronic nasal obstruction or difficulty breathing through the nose
Persistent or recurrent sinus infections
Deviated septum
Inferior turbinate hypertrophy
Nasal valve collapse
Structural contributors to snoring and sleep-disordered breathing
Functional nasal concerns following trauma or prior surgery
Skin cancers and lesions of the head and neck requiring reconstruction
Procedure Time
Septoplasty / Turbinate Reduction: 60–90 minutes
Functional Rhinoplasty / Nasal Valve Repair: 2–4 hours
Sinus surgery: 1–3 hours, depending on extent
Skin cancer excision & reconstruction: Varies by case
Eligibility
Patients with confirmed structural nasal or sinus obstruction
Individuals with symptoms not responding to medical management
Patients seeking functional improvement with or without cosmetic refinement
Candidates should be in overall good health and able to undergo anesthesia
Non-smokers or those willing to stop smoking prior to surgery
Possible Side Effects
Temporary nasal congestion
Swelling or bruising
Mild discomfort or pressure
Temporary changes in sensation
Frequently Asked Questions
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For patients experiencing chronic nasal or sinus issues, we now offer advanced evaluation and treatment options, including:
When appropriate, functional nasal and sinus procedures can be performed to improve airflow, reduce symptoms, and restore normal nasal function—often in conjunction with aesthetic considerations.
Because nasal form and function are inseparable, our approach to nasal surgery prioritizes both:
These procedures are designed to improve breathing while maintaining or enhancing facial harmony.
The face and neck are common sites for skin cancer, and treatment requires both oncologic precision and aesthetic sensitivity. We offer:
Our goal is not only complete cancer removal, but thoughtful reconstruction that respects facial anatomy and appearance.
ENT and facial plastic surgery training allows for advanced management of:
Each plan is customized, balancing medical necessity with aesthetic outcome.
Allergies are common in the Houston area and often cause itching, sneezing, and fluctuating congestion. Structural nasal problems, however, create a constant physical blockage that does not improve with allergy medications or nasal sprays.
Patients who feel consistently congested or restricted when breathing through the nose often have anatomical issues such as nasal valve collapse or a significant septal deviation. These conditions are frequently misdiagnosed as chronic sinusitis or allergies.
Accurate evaluation by a fellowship-trained ENT specialist is essential to determine whether surgical correction is appropriate.
Advanced ENT surgery may be recommended when structural abnormalities interfere with breathing or sinus health and do not respond to conservative treatment.
Surgery may not be appropriate if symptoms are purely allergic, if underlying medical conditions increase surgical risk, or if expectations fall outside what can be safely achieved. Dr. Swonke takes a conservative, patient-centered approach and recommends surgery only when it is likely to provide meaningful, lasting benefit.
These advanced ENT services may be appropriate for patients who:
Your consultation includes a comprehensive medical history, physical examination, and detailed evaluation of the nasal airway. Diagnostic tools such as nasal endoscopy or CT imaging may be used to identify the precise cause of obstruction.
Based on your anatomy and symptoms, a customized treatment plan may include:
Modern ENT surgery has significantly improved patient comfort and recovery.
Advanced ENT care at Heights Plastic Surgery is directed entirely by Dr. Megan Swonke, a fellowship-trained Otolaryngologist with advanced facial plastic surgery expertise. From initial evaluation through surgery and follow-up, care is physician-led and highly individualized, ensuring that each patient receives a precise diagnosis and a treatment plan tailored to their specific anatomy and concerns.
Structural correction is performed with careful attention to both function and form. Dr. Swonke’s dual training allows her to restore airflow and sinus function without compromising the natural balance and appearance of the nose. This integrated approach ensures that functional improvements are achieved alongside thoughtful aesthetic preservation.
As a boutique practice, Heights Plastic Surgery prioritizes personalized care over volume. Patients are guided through every stage of treatment by a consistent clinical team, allowing for continuity, clear communication, and a focused recovery experience that larger, high-throughput practices often cannot provide.
The addition of advanced ENT services reflects our ongoing commitment to expanding thoughtful, specialized care for our patients. With this expertise now available at Heights Plastic Surgery, we are able to offer a more complete spectrum of facial care—rooted in health, function, and refined outcomes.
Schedule a consultation to learn whether advanced ENT or functional facial procedures may be right for you.
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If nasal congestion is constant and does not improve with allergy medication, sprays, or seasons, the issue is often structural. Problems like a deviated septum or nasal valve collapse cause a physical blockage that medication cannot fix. An ENT evaluation is the only way to confirm the cause.
Procedures such as septoplasty, turbinate reduction, and nasal valve repair are commonly used to improve nasal airflow. The exact surgery depends on which internal structures are causing obstruction and is determined during a detailed ENT examination.
Many advanced ENT procedures are considered medically necessary and may be covered by insurance, especially when treating nasal obstruction or chronic sinus disease. Coverage depends on diagnosis and plan details. Our office assists with insurance verification and prior authorization.
Most patients return to non-strenuous activities within 7–10 days. Congestion is common during the first week. Breathing continues to improve over several weeks as swelling subsides, with full healing occurring over a few months.
Functional ENT surgery is designed to improve breathing, not alter appearance. When structural support is added, changes are typically subtle and natural. Dr. Swonke’s facial plastic surgery training ensures nasal balance and aesthetics are carefully preserved.
Nasal surgery often improves airflow and can reduce snoring and make CPAP therapy more effective. While it is not usually a standalone cure for severe sleep apnea, it can significantly improve breathing and sleep quality.
If you have persistent nasal blockage, frequent sinus infections, or difficulty breathing through your nose despite medication, it is time to see an ENT specialist. Structural problems require surgical evaluation, not additional prescriptions.
