I had the Vivaer procedure in 2020 to remodel cartilage that made nasal passages too narrow and restricted breathing during allergy season. It worked great for me from the first day and spared me complicated surgery. I saw the ENT who did the Vivaer last week for an annual follow-up and asked her if the Vivaer can help someone with Empty Nose Syndrome and she said that she would not perform Vivaer for that as ENS is very complicated and is frequently unfixable as it can result from a surgery gone wrong, leaving too little tissue, cartilage or bone to work with.

She's been doing the Vivaer procedure since it was first approved and has done over 500 of them by now. It's is non-ablative (no tissue is removed), non-surgical and painless and great for situations where it can help. But I'd get a second opinion on anything unusual and make sure the ENT has a lot of experience with the Vivaer.