Board-certified specialists treating chronic sinus and nasal conditions.
Same-week appointments · 3 Denver-area offices
We offer a range of diagnostics and procedures for nose and sinus care.
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Your sinuses are hollow spaces behind your nose and forehead that drain through small openings. When those openings become blocked or narrowed, from chronic inflammation or repeated infections, sinus pressure, congestion, and headaches can build up and stick around. Balloon sinuplasty uses a small balloon to gently widen the blocked opening so your sinuses can drain and function normally again.
You may be a candidate if you've dealt with chronic sinus pressure, congestion, facial pain, or repeated sinus infections for months, especially if antibiotics, nasal sprays, or allergy treatment haven't given you lasting relief. This is often considered when sinus symptoms keep coming back despite those treatments. This isn't the right option if your blockage involves nasal polyps or a significant structural issue. In that case, your provider may recommend a different treatment.
This procedure is done in the office, not a hospital or surgery center, and you stay awake throughout. Your provider numbs your nose first, then guides a small balloon catheter into the blocked sinus opening. The balloon is inflated briefly to widen the passage, then removed. You may feel some pressure or a dull ache during this part, but it's brief.
Most people return to normal activities within a day or two. Some mild congestion, drainage, or fatigue in the days after is common while your sinuses adjust. Improvement in sinus symptoms often builds gradually over the following weeks.
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Chronic rhinitis causes ongoing congestion, runny nose, and postnasal drip, often triggered by things like temperature changes, strong smells, or allergies. These symptoms come from an overactive nerve inside your nose. RhinAer uses gentle heat to calm that nerve, which can reduce how often and how strongly your nose reacts.
You may be a candidate if you deal with ongoing runny nose, congestion, or postnasal drip that hasn't improved with allergy medication, nasal sprays, or other treatments. This is often considered when those symptoms have gone on for months and are affecting your daily life. If your symptoms come mainly from a structural issue, like a deviated septum, your provider may recommend addressing that separately.
This procedure takes place in the office, and you stay awake. Your provider numbs the inside of your nose, then uses a small handheld device to apply gentle heat to specific areas for a short time on each side. You may feel warmth or mild pressure, but it shouldn't be sharp or painful.
Most people return to normal activities the same day. It's common to have some nasal congestion, mild swelling, or dryness for a few days afterward. Improvement in symptoms is usually gradual, developing over the following weeks as the treated tissue heals.
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Nasal airway obstruction happens when the nasal valve, the narrowest part of your nasal airway, collapses or narrows when you breathe in, making it hard to get enough air through your nose. VivAer uses gentle heat to reshape and firm up the tissue in that area, which can help keep the airway open.
You may be a candidate if you have ongoing trouble breathing through your nose, especially if your nostrils seem to cave in when you breathe in deeply or during exercise. This is often considered when nasal strips, sprays, or other treatments haven't given you lasting relief. If your obstruction is caused by a significantly deviated septum or nasal polyps, your provider may recommend a different approach.
This procedure is done in the office, and you're awake the whole time. Your provider numbs the inside of your nose, then uses a small device to apply gentle heat to the nasal valve area on each side. You may feel warmth or mild pressure for a few seconds at a time.
Most people return to normal activities the same day or the next. Mild swelling, dryness, or congestion in the treated area is common for a few days afterward. Improvement in breathing is often gradual, building over the following weeks as the tissue heals and firms up.
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FESS stands for functional endoscopic sinus surgery. It uses a thin, lighted scope inserted through the nostril, so no external cuts are needed, to reach and clear blocked sinus passages. Depending on what's causing your symptoms, this may involve removing polyps, correcting structural blockages, or widening sinus openings so they can drain and function properly.
You may be a candidate if you have chronic sinusitis, nasal polyps, or recurring sinus infections that haven't improved with medication, sprays, or in-office procedures. This is typically considered after other treatments haven't given you lasting relief, or when imaging shows a blockage that needs to be addressed surgically. Your provider will review your health history and any medications that could affect surgery or recovery before moving forward.
This procedure is typically done under general anesthesia, meaning you're fully asleep, at a surgery center or hospital rather than in the office. Using a thin scope and small instruments, your surgeon works through your nostrils to clear blocked areas and address the specific issue found during your evaluation. You'll spend time in a recovery area afterward and typically go home the same day, unless your provider advises otherwise.
Recovery takes longer than in-office procedures. Most people need about a week away from work or strenuous activity, though this varies depending on the extent of surgery. You'll likely have follow-up visits so your provider can clean the area and check healing. Improvement in sinus symptoms is often gradual, continuing over the following weeks as your sinuses fully heal.
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Turbinates are structures inside your nose that warm and filter the air you breathe. When they become swollen or enlarged, from allergies, chronic inflammation, or other causes, they can block airflow and make it hard to breathe through your nose. Turbinate reduction shrinks that tissue so air can move through more freely.
You may be a candidate if you have ongoing nasal congestion or blocked breathing, especially if it's worse on one side or doesn't improve with allergy medication or nasal sprays. This is often considered when enlarged turbinates are a main contributor to your breathing trouble. If your congestion comes mainly from a deviated septum or another structural issue, your provider may recommend addressing that as well.
This procedure is done in the office, and you stay awake. Your provider numbs the inside of your nose, then uses a device, such as radiofrequency or a similar tool, to reduce the size of the swollen tissue. You may feel some pressure or warmth during the procedure, but it shouldn't be sharp or painful.
Most people return to normal activities the same day or the next. Mild congestion, drainage, or crusting inside the nose is common for a few days as the tissue heals. Improvement in breathing is often gradual, continuing to develop over the following weeks.
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Your septum is the wall of cartilage and bone that divides your nose into two sides. When it's crooked or off-center, called a deviated septum, it can block airflow on one or both sides and make it hard to breathe through your nose. Septoplasty straightens and repositions that structure so air can move through more evenly.
You may be a candidate if you have ongoing trouble breathing through your nose, especially if it's worse on one side, or if you've had recurring sinus infections or nosebleeds linked to a crooked septum. This is often considered when nasal sprays, decongestants, or other treatments haven't improved your breathing.
If your nasal blockage is caused mainly by swollen turbinates or nasal valve collapse, your provider may recommend addressing those separately or alongside surgery.
This procedure is typically done under general anesthesia, meaning you're fully asleep, at a surgery center rather than in the office. Your surgeon works through your nostrils, so there are no external cuts, to straighten and reposition the septum. Afterward, you'll spend time in a recovery area as the anesthesia wears off before going home the same day.
Most people need about a week away from work or strenuous activity, though this can vary. Mild swelling, congestion, or drainage in the days after surgery is common. Your provider will let you know when it's safe to blow your nose or exercise again. Improvement in breathing is often gradual, continuing over the following weeks as the swelling goes down.
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Functional rhinoplasty addresses structural problems inside the nose that block airflow, such as a collapsed nasal valve, weak cartilage, or other structural issues that make it hard to breathe. The goal here is better airflow, not a different appearance, though the two can sometimes be addressed together depending on your situation.
You may be a candidate if you have ongoing trouble breathing through your nose caused by structural issues, especially if your nostrils seem to collapse when you breathe in or during exercise. This is often considered when other treatments, like nasal strips or in-office procedures, haven't given you lasting relief, or when the structural problem is more significant than those options can address. If your nasal blockage is mainly from a deviated septum or swollen turbinates, your provider may recommend treating those instead or in addition.
This procedure is typically done under general anesthesia at a surgery center, not in the office. Depending on what needs correction, your surgeon may work through incisions inside the nose or, in some cases, a small incision across the columella, the strip of tissue between the nostrils. Surgery time varies depending on the extent of correction needed. You'll recover from anesthesia in a recovery area before going home, usually the same day.
Recovery takes longer than in-office procedures. You may have swelling, bruising, or a splint on your nose for one to two weeks, and most people take about a week or more off work or strenuous activity. Your provider will let you know when it's safe to resume normal activities. Improvement in breathing is often gradual, continuing over the following weeks and months as swelling fully resolves.
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Nosebleeds usually come from a small blood vessel near the front of the nose. When bleeding is frequent, heavy, or hard to stop, cauterization seals that vessel, using heat or a chemical solution, so bleeding stops and that spot is less likely to bleed again.
You may need this if you get frequent nosebleeds, a nosebleed that won't stop with pressure, or if your provider has identified a specific vessel that keeps bleeding. This is often considered after simpler steps, like applying pressure or using nasal moisturizer, haven't solved the problem.
This is done in the office, and you stay awake the whole time. Your provider numbs the inside of your nose, then applies heat or a chemical solution directly to the bleeding vessel using a small instrument or cotton swab. You may feel a brief stinging or burning sensation during this part. The procedure itself usually takes just a few minutes.
You can typically return to your normal day right after. Your provider may recommend a nasal ointment or saline spray for a few days to help the area heal and prevent dryness. Some mild crusting inside the nose is common while it heals. Treating that vessel is intended to stop bleeding from that specific spot, though nosebleeds can still happen from other areas of the nose.
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Sublingual immunotherapy uses small, increasing doses of the allergens you're sensitive to, placed under your tongue, to gradually change how your immune system responds to them. It's an alternative to allergy shots that doesn't require regular office injections.
You may be a candidate if you have ongoing allergy symptoms, like congestion, sneezing, or itchy eyes, that haven't been well controlled with medication alone, and allergy testing has identified specific triggers. This is often considered when you're looking for a longer-term approach instead of relying on daily allergy medication. This isn't the right fit for everyone. If you have certain uncontrolled health conditions, like a history of severe allergic reactions, your provider will review your health history to see if this approach is safe for you.
This starts with allergy testing, if you haven't already had it, to identify what you're reacting to. Your provider then creates a custom drop formula based on those results. Your first dose is usually given in the office so your provider can watch for any reaction. After that, you take your drops at home, under your tongue, on a schedule your provider sets. This is an ongoing, at-home treatment rather than a one-time procedure - and it continues over an extended period.
There's no downtime, and you can go about your normal day after each dose. Some people notice mild itching or tingling under the tongue afterward, which is usually brief. Improvement in allergy symptoms is typically gradual, and your provider can talk with you about what timeline and treatment length makes sense for your situation.
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If you've had ongoing congestion, sinus pressure, nosebleeds, or a change in your sense of smell, and a standard nasal exam doesn't fully explain it, this scope lets your provider look further back into your nasal passages and sinus openings. It can identify things like polyps, swelling, or blockages that aren't visible from the front of the nose.
Your provider will usually spray a numbing or decongestant spray into your nose first. Then a thin, flexible scope is guided gently through the nostril. The exam itself usually takes just a few minutes. You may feel some pressure or an urge to sneeze. It's uncomfortable for some, but it typically isn't painful.
Because your provider is viewing everything live, findings are often discussed with you during the same visit. Depending on what's seen, next steps might include imaging, allergy testing, a medication change, or further treatment.
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If you've had congestion that hasn't cleared with medication, or repeated sinus infections, this scan shows us whether your sinuses are actually blocked and why. A CT scan sees through bone and tissue to show the sinus passages in detail, including areas that can't be seen with a standard exam. It can reveal things like blocked drainage pathways, significant inflammation, or a structural issue inside the nose that's contributing to your symptoms.
The scan itself is quick. You'll sit still while the machine circles around your head, and the actual scanning takes about a minute or two. There are no needles and typically no contrast dye needed for sinus imaging. You'll hear some noise from the machine, but there's no discomfort involved. Because this scan is done right in the office, you don't need to schedule a separate imaging appointment or visit an outside facility.
Depending on what the scan shows, your next step might be adjusting medication, adding a sinus rinse routine, or discussing other interventions. Your provider will explain exactly what the images show for your sinuses.
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If your congestion, sneezing, or itchy eyes flare up every allergy season, or never really go away, this testing pinpoints exactly what's setting off your symptoms. Along Colorado's Front Range, that could mean tree and grass pollen in spring and summer, ragweed in late summer, or year round triggers like dust mites and pet dander. Testing narrows down your specific triggers instead of guessing.
To prioritize patient comfort, we use blood testing to pinpoint your allergies. This is in contrast to traditional skin prick testing. Your provider may ask you to stop certain allergy medications beforehand, since they can affect the results, so follow their specific instructions.
Once your results are in, your provider will go over exactly which allergens triggered a reaction. From there, options may include avoidance strategies, medication, or allergy immunotherapy if ongoing exposure is hard to avoid.
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"Dr. Manan Shah has a unique combination of exceptional skill and genuine kindness. He performed my septoplasty to fix a deviated septum, and he also performed balloon dilation of my eustachian tubes. I can breathe and sleep much better, and I can finally pop my left ear after decades of pressure and inability to do so."
"I was very impressed with Dr. Fairmont who treated my sinus symptoms. She was genuinely interested in my care & she recommended new medications and therapies which are covered by my insurance. Also, she was very kind and empathetic."
"This was my first visit. Dr. Sohal has a terrific bedside manner, is very knowledgeable and the care he has for his patients is obvious. He took time to discuss my condition and treatment. And spent time answering my questions. I highly recommend Dr. Sohal!"
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