Trouble Breathing Through Your Nose?
Silenso Clinic
Learn more about Dr. Paul Schalch Lepe
Start talking with Dr. Paul Schalch Lepe about your treatment options.
Silenso Clinic
Learn more about Dr. Paul Schalch Lepe
Start talking with Dr. Paul Schalch Lepe about your treatment options.
Did you know you may be able to relieve your chronic nasal obstruction with one quick procedure, without the cost and risks of major surgery, and extensive down time.
You don’t have to live your life unable to breathe through your nose, dependent on medications or breathing strips, and exhausted from your congestion. Dr. Paul Schalch Lepe at Silenso Clinic may be able to relieve your nasal obstruction issues while avoiding the operating room, extensive down time, and years of over-the-counter treatments.
Dr. Schalch Lepe is a top provider of this revolutionary procedure, helping people like you get their life, and breathing back. Chat with Dr. Schalch Lepe now, for free, and see how you can leave chronic nasal obstruction in the past, and get back to your life.
Here is a simple test that you can perform from home that may indicate if you suffer from nasal obstruction.
1) Place two fingertips on your cheeks, on each side of your nose.
2) Gently press and pull outward.
3) While holding, breathe through your nose.
If this helped you breathe better, you may suffer from nasal obstruction.
1.) Start a Free Consult with Dr. Schalch
2.) Chat with Dr. Schalch to Find the Right Solution
3.) Leave Your Chronic Nasal Obstruction Behind
Nasal obstruction is often caused by an anatomical blockage in the nose, hindering airflow. As a result, you may feel congested or “stuffy.”
VivAer is a treatment that gently remodels the inside of your nose, allowing for better airflow, improved overall sleep quality, and lasting improved breathing.
VivAer is an effective, non-invasive procedure that can be performed in your doctor's office to open your nasal airway and provide lasting relief from nasal obstruction. VivAer has been used on over 20,000 patients; it can be done safely in the office with little to no downtime from normal activities.

"The sleep alone was incredible after the VivAer®. My breathing has improved dramatically. I have more energy. I am more awake in the morning. I’m more focused in the morning when I’m working out. Breathing is easier. I have more air in my lungs... It was a great experience for my entire physical and mental health."
Rob, VivAer Patient
Paul Schalch Lepe, MD, FACS, is a board-certified otolaryngologist and sleep medicine specialist specializing in disorders affecting the ears, nose, and throat at Silenso Clinic in San Diego, California. He specializes in patients with chronic nasal obstruction as well as snoring/obstructive sleep apnea, who are interested in minimally invasive treatments. His clinic focuses in offering the latest technological advancements in medical and surgical treatment.
Dr. Schalch Lepe is passionate about providing comprehensive, safe, effective, and efficient care. He works with patients to find treatments that align with their preferences and believes this approach is the best way to provide the best therapy and outcomes for his patients.
Dr. Schalch Lepe is available at Silenso Clinic located at:
12264 El Camino Real, Suite 303Dr. Schalch's Office Hours
¹ Prospective, Multi-Center, Non-randomized Study to Evaluate the Quality of Life Impact After Treatment of Nasal Airway Obstruction Using the Aerin Medical VivAer Stylus. Aerin Medical Report TR680-01