Surgical Solutions

When symptom relief has not been achieved with less invasive treatment options, a more intensive surgical approach may be required. At the Beverly Hills Aesthetic Surgical Institute, Dr. Saadat is pleased to offer a variety of cutting edge treatment options to resolve the anatomical or structural abnormalities that may be causing a patient’s chronic snoring or sleep apnea:

Inspire therapy: Inspire therapy is a breakthrough implantable treatment option for people with Obstructive Sleep Apnea who are unable to use or get consistent benefit from Continuous Positive Airway Pressure (CPAP). Dr. Saadat is one of the few doctors in Southern California who can install the only FDA-approved implantable device for obstructive sleep apnea. Read more about this breakthrough treatment and technology >

Uvulopalatopharyngoplasty (UPPP): performed under general anesthesia, this surgical procedure entails trimming and tightening excess tissues from the throat region to expand the breathing airways and minimize the vibrations causing the snoring.

Maxillomandibular Advancement (Jaw Repositioning): this surgery involves moving the jaw forward to expand the area behind the soft palate and tongue, which minimizes the potential for future obstruction

Palatal Implants (“the pillar procedure”): when utilizing this technique, Dr. Saadat will insert braided strands of polyester filament into the soft palate to stiffen it, thereby reducing the chance of future airway vibration. This procedure is best suited for patients with mild sleep apnea who are unable to tolerate CPAP.

Nasal Surgery (functional rhinoplasty): when sleep apnea is caused by defective or malfunctioning nasal structures, as with a deviated septum or nasal polyps, corrective nasal surgery may be necessary to restore proper nasal functioning and resolve the patient’s sleep disorder symptoms.

Tracheostomy: generally considered a more invasive surgical option, tracheostomy is best suited for patients with severe or life-threatening sleep apnea. This surgical technique involves the insertion of a metal or plastic tube to create a new air passageway through which the patient will breathe at night, in order to bypass the blocked air passage in the throat.

Transoral Robotic Surgery (Robotic Tongue Base Resection): Transoral Robotic Surgery (TORS) is a cutting edge sleep apnea treatment option that is ideally suited for patients whose sleep apnea issues stem from hypertrophy (excessive growth) of the tongue base. Dr. Saadat is one of the few surgeons with the clinical skillset and necessary surgical expertise to perform this procedure, which employs robotic technology to manage the tongue base and the epiglottis. This serves to reduce the volume at the tongue base and clear the obstruction to the nasal passageway, thereby minimizing the patient’s pain while improving their ability to swallow properly, and helping to enhance their overall sleep quality.

Every patient’s ear, nose, and throat anatomy is unique, and this anatomical diversity makes a universal treatment approach highly ineffective. For this reason, Dr. Saadat always performs comprehensive medical evaluations before creating individualized treatment plans to efficiently address and resolve the structural issues at the root of the sleep disorder.

Dr. David Saadat