Doesn't the Vivaer procedure shrink the turbinate? I don't see how your doctor would say it does not shrink the turbinate. That seems to be exactly what the procedure does. It is an ablative surgery, it destroys tissue and shrinks it. The degree of shrinkage may be much less than other surgeries and that may be what the doctor was trying to say, so that the risk of ENS is greatly reduced compared to other more destructive procedures.