In-Office Nasal Procedures (ClariFix, LATERA, Balloon Sinuplasty) Manhattan

Dr. Kaete Archer - - Facial Plastic and Reconstructive Surgeon

Dr. Kaete Archer

Facial Plastic and Reconstructive Surgeon located in New York, NY

If you have a chronic runny nose, post nasal drip, and/or nasal congestion despite nasal sprays and allergy medications, you may be a candidate for in-office nasal procedures including ClariFix®, LATERA®, and balloon sinuplasty. These procedures can be safely and comfortably performed in the office under local anesthesia. Kaete Archer, MD FACS, President and Founder of the Dr. Kaete Archer in New York, is a double board- certified facial plastic surgeon who specializes in cosmetic facial surgery and ear, nose, and throat (ENT) conditions. For the answers to your nasal conditions, call the office today or book an appointment online.

212-971-1394 Request Appointment

“This was a very helpful treatment “

5 5 Star Rating
Written onMarch 17, 2019

This was a very helpful treatment & diagnosis from a cinde Dr. thank to you staff


by Kevin B.

In-office nasal surgery Q&A

1. ClariFix®

  • What is ClariFix®?

    ClariFix® is an in-office treatment for runny nose that provides lasting improvement with little to no downtime. It is the only minimally invasive solution for the treatment of chronic rhinitis (chronic runny nose). The procedure is cryotherapy, designed to chill and treat the nerves that control mucus production in the nose. The procedure can comfortably be done in the office.

  • How do I know if I have chronic rhinorrhea?

    Chronic rhinorrhea (chronic runny nose) is when patients notice a frequent mucus drip either from the front of the nose (frequent nose blowing or wiping the nose) or from the back of the nose (post nasal drip). Other symptoms treated with the ClariFix® include nasal congestion and congestion in the morning.

  • What causes a runny nose?

    There are many causes for a runny nose (rhinorrhea). A common cause is environmental allergies (allergic rhinitis) such as pollen or mold but other causes include over-active or out-of-balance nerves, infection, hormone changes (pregnancy), surgery, topical nasal decongestants, irritation, temperature/humidity changes, medication side effects, exercise, and anxiety/stress (non-allergic rhinitis).

  • How do you perform ClariFix®?

    Topical numbing medication is used to numb the nose. This is a combination of sprays and a small amount of ointment placed into the nose prior to the procedure. Adequate time is given to ensure the nose is numb and the patient is comfortable. The ClariFix® wand and endoscope are placed into the back of the nose, where the out-of-balance nerves are located. The cold therapy is applied using a cooling probe and takes a few minutes. You may feel slight pressure, a cooling sensation.


  • What is LATERA®?

    LATERA® is an in-office treatment for nasal obstruction. The device is an absorbable nasal implant used to support the upper and lower lateral cartilages in the nose. The device reinforces the lateral (side) wall of the nose. The procedure can comfortably be done in the office.

  • Am I a candidate?

    LATERA® is for patients with nasal airway obstruction. Nasal airway obstruction is a condition in which the nasal passages are blocked and prevent a normal and comfortable amount of air from passing through the nose.

  • What causes nasal airway obstruction?

    The condition can occur because of a structural abnormality in the nose such as deviated septum or nasal trauma or from swelling of the nasal passages. Even slight narrowing can cause trouble breathing through the nose.

  • How do you perform LATERA®?

    LATERA® can be performed in the office or operating room. Topical numbing medication is used to numb the nose. Adequate time is given to ensure the nose is numb and the patient is comfortable. A small cannula is inserted just inside the nostril. When the tip of the cannula reaches the nasal bones, a small clear thin implant is released from the cannula and the cannula is removed. The implant provides on-going support to the lateral nasal wall.

  • Is it a permanent implant?

    No. The LATERA® implant is made of PLLA (poly-L-lactic acid) and is absorbable. The implant absorbs over a period of about 18 months.

3. Balloon sinuplasty

  • What are the sinuses?

    Sinuses are bony air-filled spaces around the eyes and cheeks. The sinuses make mucus to clean out allergens and irritants.

  • What causes a sinus infection?

    Sinus infections are caused by many conditions. Common causes include bacteria, viruses, and fungus. When a patient has nasal allergies or anatomic abnormalities, he/she may be more prone to getting a sinus infection. When a patient gets multiple sinus infections, he/she may be a candidate for a sinus surgery.

  • How do you perform sinus surgery?

    A computed tomography (CT) scan is done of the sinuses to evaluate the underlying anatomy and sinus disease. For revision procedures, nasal polyps, or complex anatomy, a special CT scan may be obtained that allows Dr. Archer to perform sinus surgery with 3D navigational imaging. In the procedure, endoscopic equipment with high resolution cameras and screens are used to open the natural sinuses and remove the unhealthy tissue. This will allow the sinuses to function better and decrease the risk of sinus infections.
    If you have chronic runny nose, nasal obstruction, or frequent sinus infections, please call the office today for a consultation with Dr. Archer, a double board-certified facial plastic surgeon and ear, nose, and throat (ENT) surgeon.

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