Double Board Certified · Functional Sinus Surgery
Nasal Polyps Surgery — precise endoscopic removal.
Endoscopic surgery removes the polyp burden and opens the sinus drainage pathways — but polyps are an inflammatory disease, and the long-term outcome…
ABFPRS
Facial Plastic & Reconstructive Surgery
ABOto
Otolaryngology — Head & Neck Surgery
AAFPRS
Fellowship Director
In Consultation
"Surgery is one part of polyp care. Without the medical plan that follows it, polyps return."
A Note from Dr. Mourad
"Endoscopic surgery removes the polyp burden and opens the sinus drainage pathways — but polyps are an inflammatory disease, and the long-term outcome depends as much on the medical plan after surgery as on the operation itself."
— Dr. Moustafa Mourad, MD
Overview
What is nasal polyp surgery?
Nasal polyp surgery is an endoscopic procedure that removes nasal polyps and opens the sinus cavities they have obstructed. Polyps are soft, benign growths from chronically inflamed sinus and nasal lining; surgery addresses the obstruction and restores the access needed for long-term medical control of the underlying inflammatory disease.
It is considered when polyps are causing persistent nasal obstruction, loss of smell, recurrent infections, post-nasal drip, or facial pressure that has not responded to optimised medical therapy — typically intranasal and, when appropriate, oral steroids, saline irrigation, and biologic therapy for select patients. Surgery is rarely a stand-alone fix; it works alongside ongoing medical management.
Polyp surgery is performed entirely through the nostrils with an endoscope. There are no external incisions. The operation reopens the sinus drainage pathways and allows topical medication and saline rinses to reach the lining that drives the disease.
An Established Academic Authority
Double board certification. Fellowship director. Published author. A surgeon's surgeon.
ABFPRS
Board Certified
American Board of Facial Plastic & Reconstructive Surgery
ABOto
Board Certified
American Board of Otolaryngology — Head & Neck Surgery
AAFPRS
Fellowship Director
American Academy of Facial Plastic and Reconstructive Surgery
Textbook
Published Author
Contributions to the academic literature of facial plastic surgery
Dual board certification in both Facial Plastic & Reconstructive Surgery and Otolaryngology — a combination held by a small number of physicians nationally.
02 · Ideal Candidates
Who benefits most from this operation.
Candidacy is determined together at consultation. The most satisfied patients share three things in common.
I
Medically-Refractory Polyps
Patients with polyps that obstruct the airway despite optimised medical therapy with topical and sometimes systemic steroids.
II
Recurrent Sinus Infections
Patients with chronic or recurrent sinus infections driven by polyp-related obstruction of the drainage pathways.
III
Loss of Smell or Quality of Life
Patients whose smell, sleep, or daily function is meaningfully reduced by polyp burden.
If this describes you, the next step is a quiet, unhurried conversation — not a sales call.
An Honest Note
When this operation may not be right for you.
Patients who have not yet completed an adequate trial of topical steroid therapy benefit from medical optimisation first.
Patients whose only complaint is mild congestion without functional impact may be reasonable to manage medically.
Patients with uncontrolled asthma, aspirin sensitivity, or other systemic inflammatory disease need a coordinated plan with allergy/immunology before surgery.
Smokers should be counseled candidly about how smoking accelerates polyp recurrence.
03 · Approaches
Three paths through polyp disease.
Nasal polyps are usually a sign of underlying inflammatory disease. Surgery is one part of a longer plan that includes medical therapy and, often, biologics — the right operation depends on disease burden and what drainage is being obstructed.
1 of 3 · Endoscopic Polypectomy
04 · Technique
Polypectomy + FESS.
Polyp surgery is rarely done in isolation. The right operation usually combines polyp removal with opening of the obstructed sinus drainage pathways.
Polypectomy
Removal of polyp burden
Polyps are removed under endoscopic visualisation using powered instrumentation — preserving normal mucosa wherever possible.
The goal is to restore airway and drainage without removing healthy tissue. Aggressive stripping of mucosa is counter-productive and increases scarring.
FESS
Opening sinus drainage pathways
Where polyps have obstructed sinus drainage, the natural outflow tracts are opened — most commonly the maxillary, ethmoid, and frontal sinuses.
Restoring drainage is what allows the medical plan after surgery to actually reach the sinus mucosa and control inflammation long-term.
Illustrative diagrams. The extent of surgery is decided case by case based on imaging and endoscopy.
01 · Why Dr. Mourad
Diagnosis first, then a plan that fits.
Dr. Mourad is double board-certified in Facial Plastic & Reconstructive Surgery and in Otolaryngology — a combination uniquely suited to evaluating both surgical and medical components of inflammatory sinus disease.
Every polyp surgery is paired with a medical maintenance plan — topical steroids, sometimes biologics — designed to control the underlying inflammation.
Surgery is recommended when medical therapy has been optimised and disease persists — not before.
Begin the conversation
A careful, honest evaluation is the right first step.
Cost, Financing & Insurance
Nasal Polyps Surgery Cost, Financing & Insurance in NYC
Nasal polyps surgery cost depends on the extent and location of the polyps, the degree of associated sinus disease, whether endoscopic sinus surgery or other nasal procedures are included, the type of anesthesia, and the surgical facility.
Because nasal polyps surgery treats a medical condition, it may be covered by insurance when it is medically necessary. Coverage often depends on symptoms, CT imaging, prior medical treatment, and the requirements of the patient’s insurance plan. Our office can help review benefits and guide patients through preauthorization when appropriate.
What May Affect Cost
- Extent and location of polyps
- Degree of sinus disease
- Whether endoscopic sinus surgery is included
- Type of anesthesia
- Prior medical treatment
- Insurance plan requirements
This information is educational and is not a guarantee of pricing, insurance coverage, reimbursement, financing approval, or surgical candidacy. A personalized estimate is provided after consultation. Insurance coverage depends on the patient’s plan, medical necessity, documentation, and carrier requirements. Financing terms are determined by third-party financing providers.
05 · In Dr. Mourad's Words
Educational videos.
Short educational films and patient perspectives from the Manhattan practice.
Dr. Mourad in Practice
An overview of the practice and philosophy.
Patient Perspective
A patient discusses her experience before, during, and after surgery.
Inside the Consultation
How Dr. Mourad evaluates anatomy, goals, and candidacy.
Illustrated Anatomy
How polyp removal restores the airway.
Nasal polyps and the surgery to remove them sit deep within the nasal cavity and sinuses — they are not visible in standard external photographs. The illustration shows polypoid tissue obstructing the middle meatus, which endoscopic surgery is designed to clear.
Illustrative anatomy · Not a patient photograph
06 · Recovery
What healing actually looks like.
Stage 01
First 24 Hours
Initial recovery focuses on rest, hydration, and following all post-operative instructions exactly. Pain is managed with multi-modal non-narcotic protocols where appropriate.
Stage 02
Week 1
Swelling and bruising peak in the first few days and improve steadily through the first week. Most patients are presentable for casual social activity by the end of week two.
Stage 03
Weeks 2 – 4
Through weeks two to four the early result begins to settle. Light cardio resumes around three weeks; vigorous exertion and contact activities are deferred per the operative plan.
Stage 04
Months 1 – 6
The final refined result emerges progressively over the following months as residual swelling continues to resolve. Follow-up visits are scheduled across the first year.
Have a specific question?
Send a brief note describing your anatomy or concerns — the office will route it directly to Dr. Mourad for review.
Before You Arrive
Your consultation, prepared.
Bring photographs relevant to your concern, when available.
Bring records from any prior surgery, when available.
List current medications, supplements, and blood-thinning agents.
Note any prior anesthesia issues or chronic medical conditions.
Allow 60 minutes for the first consultation.
Bring questions; no decisions are made at the first visit.
Patient Perspectives
From patients of the practice.
I had lost my sense of smell completely for almost two years. A few weeks after surgery it began coming back, and that was a more meaningful change than I expected.
Dr. Mourad was honest that polyps can recur and that medical maintenance after surgery is part of the plan. That candor mattered to me.
Breathing through my nose at night has changed how I sleep. My partner says the snoring is gone, and I feel more rested.
Individual experiences. Results and recovery vary by patient. Testimonials shared with written consent.
Frequently Asked
Patient questions, honestly answered.
The decision integrates symptom severity, objective disease on endoscopy and CT, and response to medical therapy. If topical intranasal steroids and a monitored short oral steroid trial fail to control obstruction, recurrent infection, or smell loss, we consider endoscopic surgery to reestablish drainage. For patients with eosinophilic disease, aspirin‑exacerbated respiratory disease (AERD), or inadequate control after surgery, steroid‑sparing biologic agents may be appropriate (discussed with allergy/immunology). Final sequencing is individualized and agreed on in clinic with input from specialists.
The Most Important Step
Your expert consultation.
A careful evaluation by a double board-certified physician is the right first step. The conversation is unhurried, the diagnosis is honest, and the operative plan is built around what your anatomy can sustain and what you actually want.