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Turbinate reduction is a procedure designed to improve nasal airflow by reducing enlargement of the inferior turbinates — soft tissue structures inside the nose that regulate airflow and humidification. When turbinates become chronically enlarged, they can obstruct breathing even when the septum is straight.
At Aesthetic Surgery Center: Michael R. Macdonald, M.D., turbinate reduction in San Francisco is performed following a comprehensive structural nasal evaluation to ensure the correct cause of obstruction is addressed.
Turbinates are normal structures inside the nasal passages that:
When turbinates become enlarged (a condition known as turbinate hypertrophy), they can block airflow and cause persistent nasal congestion.
Turbinate enlargement may result from:
In many patients, turbinate hypertrophy coexists with septal deviation or nasal valve collapse.
Turbinate reduction in San Francisco may improve:
By reducing tissue bulk while preserving function, airflow is improved without compromising nasal physiology.

Accurate diagnosis is essential. Treating septal deviation alone will not resolve congestion if turbinate hypertrophy is present.
As a board-certified facial plastic and reconstructive surgeon in San Francisco, Dr. Macdonald evaluates:
• Septal alignment
• Turbinate size
• Nasal valve stability
• Rhinitis symptoms
Treatment planning may involve turbinate reduction alone or in combination with septoplasty or other structural procedures.
You may be a candidate for turbinate reduction if you:
A consultation determines whether tissue reduction is appropriate or if another structural issue is contributing.

Turbinate reduction is typically performed under anesthesia in a controlled setting. Techniques vary depending on anatomy but are designed to:
The goal is conservative tissue reduction rather than aggressive removal.
Most patients experience:
Return to light activity typically occurs within about 1–2 weeks, depending on whether additional procedures were performed.
When turbinate hypertrophy is structural and persistent, reduction offers long-term improvement. Ongoing allergy management may still be recommended in allergic patients.
Each treatment addresses a different cause of obstruction:
Proper diagnosis ensures the correct structural problem is treated.
Preserving nasal function is critical. Over-resection of turbinates can cause dryness or airflow imbalance.
Choosing an experienced San Francisco turbinate reduction specialist improves both safety and long-term breathing quality.
Below are answers to common questions about turbinate reduction surgery for nasal obstruction.
Turbinate reduction is a procedure that decreases enlargement of the inferior turbinates to improve nasal airflow.
Turbinates may enlarge due to chronic inflammation, allergies, environmental irritants, or structural nasal imbalance.
Good candidates have chronic nasal congestion caused by turbinate hypertrophy that does not improve with medication.
Most patients experience temporary congestion and return to light activity within 1–2 weeks.
Results are typically long-lasting when hypertrophy is structural. Allergy management may still be necessary in some patients.
Yes. Turbinate reduction is often combined with septoplasty when both septal deviation and tissue enlargement contribute to obstruction.
Postoperative discomfort is usually mild and manageable, with gradual improvement in breathing during recovery.
If persistent nasal blockage has not improved with medication, a structural evaluation can determine whether turbinate reduction is right for you.

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