Concha Hypertrophy Treatment
(Nose Aesthetics)

What is Concha Hypertrophy?

The turbinates warm, humidify and filter the air we breathe. When they become hypertrophic, the shared airway narrows, frequently alongside a deviated septum or on its own.

Causes

• Allergic rhinitis
• Chronic nasal obstruction
• Additional load caused by septal deviation
• Long-term nasal spray use
• Chronic sinusitis
• Environmental irritants (pollution, smoke)

Symptoms

• Persistent congestion
• Breathing becomes harder at night
• Mouth breathing and snoring
• Sense of fullness and morning dryness
• Breathlessness during exercise

What is the treatment?

The turbinates are reduced while preserving their mucosal function; the plan can be medical or surgical depending on the degree of hypertrophy.

Treatment methods

• Medical: allergy treatments, corticosteroid sprays, saline rinses.
• Surgical: radiofrequency, submucosal reduction, lateralization techniques that keep the external mucosal surface intact.

How the procedure is performed

• 15–30 minute intervention
• General or local anesthesia
• All entries through the nose
• No external scars
• Often combined with deviation correction or rhinoplasty

Relationship with deviation

When a deviated septum is addressed in the same session, the concha treatment must not be skipped; otherwise airflow remains blocked.

Recovery

• Early days: mild congestion
• 3–7 days: swelling subsides
• 1 week: return to daily activities
• 2–4 weeks: breathing feels easier

Pain & bleeding

Discomfort is minimal, bleeding is rare and packing is usually unnecessary.

Nasal dryness

Preserving the functional surface minimizes the risk of long-term dryness.

Who is this for?

• Persistent airway obstruction
• No response to medications
• Patients scheduled for deviation correction
• Snoring and sleep disturbances
• Daily breathing difficulties

Dr. Melekber plans the airway, the natural concha physiology, and long-term comfort together.