Vivaer Non- invasive Nasal Airway Remodelling

1.What is it?

A radiofrequency based portable device designed to reshape the nasal valve gently to allow better nasal airflow. This is done at a low temperature to minimise pain and the procedure can be done within community healthcare practices. Vivaer offers an alternative to the conventional nasal surgery which does not always attend to obstruction via the nasal valves.

2. Why is it important?

  • According to paranasal morbidity scores 25% of the UK population are likely to have issues with nasal congestion
  • 4 million patients are estimated to be currently under specialist care who could benefit from Vivaer treatment
  • 93% of patients surveyed on the device were interested in the procedure and 73% would be willing to pay
  • Vivaer offers a procedure with short recovery times so patients can return to their daily life immediately in contrast to conventional surgery
  • Clinical studies show significant improvement based on the NOSE score with a 95% CI

3. How does it work?

  • Local anaesthesia is administered to the patient to numb the nasal area
  • The Vivaer nasal stylus is connected to a monitor which automatically sets parameters using proprietary control algorithms for soft tissue treatment of the nasal airway
  • The device uses non- ablative high frequency, short wavelength radio frequency to treat mucosal tissue
  • This treatment offers direct visualisation of the site, hence no endoscope necessary
  • Each site takes 30 seconds to treat and 15 minutes dwell time for anaesthesia
  • As this does not require any incisions the patient is then ready to leave the clinic and will have no visual impairments external to the nose to worry about either which also reduced the risk of infection
  • Overall the Vivaer nasal airway modulator could see patients in and out of clinic within half an hour


All images in this article belong to Vivaer except the featured graphic by MedX Jannat Alam

  2. Rhee, JS et al. A Systematic Review of Patient Reported Nasal Obstruction Scores, JAMA FacialPlastSurg. 2014;16(3):219-2
  3. Jacobowitz, O., Driver, M. and Ephrat, M. (2019), In‐office treatment of nasal valve obstruction using a novel, bipolar radiofrequency device. Laryngoscope Investigative Otolaryngology. doi:10.1002/lio2.247

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