ClariFix® vs. Neuromark vs. RhinAer®: What’s the Difference?
If you have been living with chronic runny nose, post-nasal drip, and nasal congestion that medications cannot fully control, you may have come across three names: ClariFix®, Neuromark, and RhinAer®. All three are minimally invasive, in-office procedures that target the overactive nasal nerves responsible for chronic rhinitis symptoms — but they use different technology and energy modalities. At The Center for Sinus, Allergy, & Sleep Wellness in Boynton Beach, FL, Dr. David C. Brodner offers all three options and evaluates each patient individually to determine the most appropriate approach. This guide explains how each procedure works, how they differ, and how Dr. Brodner determines which is the best fit.
Frequently Asked Questions: ClariFix® vs. Neuromark vs. RhinAer®
What do ClariFix®, Neuromark, and RhinAer® all have in common?
All three procedures target the posterior nasal nerve — the nerve responsible for the abnormal signals that drive overproduction of mucus, nasal congestion, and chronic post-nasal drip in patients with chronic rhinitis. By disrupting or modulating these overactive nerve signals at their source, all three aim to produce lasting symptom relief that goes beyond the temporary suppression achieved by nasal sprays and antihistamines. All three are performed in the office under local anesthesia, involve minimal discomfort, require no general anesthesia or hospital visit, and typically allow same-day return to normal activity.
How does ClariFix® work?
ClariFix® is an FDA-cleared cryotherapy treatment for chronic rhinitis. A small probe is guided to the back of the nasal cavity using endoscopic visualization, where it delivers a precisely controlled burst of cold therapy (cryotherapy) to the tissue surrounding the posterior nasal nerve. The cold temperature disrupts the overactive nerve signals, reducing mucus production and nasal congestion. Clinical studies show that 4 out of 5 patients experience lasting relief within two to six weeks of a single treatment. The procedure takes approximately one hour at the office and most patients are back to normal activities the same day. ClariFix® is manufactured by Stryker and is FDA-cleared specifically for chronic rhinitis.
How does RhinAer® work?
RhinAer® is a procedure that uses low-power, temperature-controlled radiofrequency energy — rather than cold — to target and disrupt the posterior nasal nerve. A small stylus is applied to the posterior nasal tissue under local anesthesia, delivering precise radiofrequency energy to interrupt the abnormal nerve signals driving rhinitis symptoms. Clinical evaluation of RhinAer® showed that patients treated with low-power radiofrequency energy experienced significant relief from chronic rhinitis symptoms including runny nose, post-nasal drip, and congestion, with improvement sustained at follow-up. RhinAer® is manufactured by Aerin Medical and is FDA-cleared for chronic rhinitis. For more information on safety, visit Aerin Medical’s important safety information page.
How does Neuromark work?
Neuromark is another radiofrequency-based approach to chronic rhinitis, using bipolar radiofrequency energy to target the overactive nasal nerves responsible for rhinitis symptoms. Like RhinAer®, it is performed in the office under local anesthesia with minimal downtime. It is described as low-risk and minimally invasive, with the specific advantage that it is designed to address rhinitis symptoms at their neurological source — targeting overactive nerve signaling rather than masking the downstream symptoms those signals produce. Neuromark is typically associated with no significant downtime, and most patients return to normal activities immediately or the following day.
What is the key difference between ClariFix® and the radiofrequency options?
The primary difference is the energy modality used to disrupt the posterior nasal nerve. ClariFix® uses cryotherapy — controlled cold — while both RhinAer® and Neuromark use low-power radiofrequency energy. In practical terms, the procedures are similar in intent and outcome: all three aim to produce lasting reduction in chronic rhinitis symptoms by targeting overactive nasal nerves. The choice between them at The Center for Sinus, Allergy, & Sleep Wellness is guided by each patient’s specific anatomy, symptom profile, prior treatment history, and Dr. Brodner’s clinical assessment during consultation. There is no single universally superior option — the right choice depends on the individual patient.
Can more than one of these procedures be used together?
In appropriate patients, these rhinitis-targeting procedures can be combined with other in-office nasal treatments at The Center for Sinus, Allergy, & Sleep Wellness to address multiple contributing factors simultaneously. For example, a patient with both overactive nasal nerves (treated with ClariFix®, RhinAer®, or Neuromark) and nasal valve obstruction (treated with Vivaer® Nasal Airway Remodeling or LATERA® Implants) may benefit from combination treatment in a single visit. Dr. Brodner evaluates the complete nasal anatomy and designs a treatment plan accordingly.
Are these procedures covered by insurance?
Coverage for ClariFix®, RhinAer®, and Neuromark varies by insurance plan. At The Center for Sinus, Allergy, & Sleep Wellness, most major insurance plans are accepted. Patients are encouraged to call the office at (561) 735-8750 before their appointment to verify coverage and understand any potential out-of-pocket costs. Same-day and next-day consultations are available for patients in Boynton Beach, Delray Beach, Boca Raton, and throughout Palm Beach County.
How do I know which rhinitis procedure is right for me?
The most reliable answer comes from a thorough in-office consultation with Dr. Brodner at The Center for Sinus, Allergy, & Sleep Wellness. During your evaluation, Dr. Brodner will review your symptom history, perform nasal endoscopy to assess your anatomy, evaluate whether your rhinitis has allergic or non-allergic drivers, and determine which procedure — or combination of procedures — is the most appropriate solution for your individual situation. No procedure is recommended without this thorough individualized assessment.
Schedule Your Chronic Rhinitis Consultation in Boynton Beach, FL
If you have been cycling through nasal sprays and antihistamines without lasting relief, it is time to explore what the latest minimally invasive rhinitis technology can do. The Center for Sinus, Allergy, & Sleep Wellness offers ClariFix®, RhinAer®, and Neuromark — all available in our Boynton Beach office, performed by a nationally recognized ENT specialist. Call (561) 735-8750 or request an appointment online today.
Medically reviewed by David C. Brodner, MD, Double Board-Certified Otolaryngologist and Sleep Medicine Specialist, The Center for Sinus, Allergy, & Sleep Wellness, Boynton Beach, FL.