Shop Now

Dr. A. James Paine, Jr.

Trusted Physician, Comfortable Environment & Beautiful Results.

This Spring, Say No to Allergies

Paine, Allergies - Image

For many of us, the lightness of spring is a welcome change from the dull days of winter. However, for many men and women, April showers bring more than just May flowers—as the season ahead also ushers in a number of symptoms related to allergies. At Mountain State ENT & Aesthetic, we understand that allergies often prove to be frustrating and can put a damper on the spring season. Along with Dr. Paine, we are pleased to have a full-time allergy technician—making it possible to provide you with in-office allergy testing and treatment.


Endoscopic Sinus Surgery


Your sinuses are the open, hollow areas within your skull that are connected to your nasal cavities. When these sinuses are blocked, it can cause a condition known as sinusitis. Endoscopic sinus surgery—or sinoscopy—is a procedure used to clear blocked sinus and treat sinusitis. Dr. Paine can perform endoscopic sinus surgery to help alleviate facial pain or breathing problems associated with blocked or obstructed sinuses.

What Is Sinusitis?

Sinusitis occurs when the sinuses become swollen and cause nasal airway obstruction. This can impair a person’s breathing and often causes facial pain and pressure. Men and women born with a partially obstructed airway are more likely to have sinus infections and struggle with sinusitis.

Your chances of developing sinusitis can increase with age and may worsen after an initial sinus infection. Seeking professional treatment early on can help to correct the problem and keep it from worsening.

Should You Consider Endoscopic Sinus Surgery?

Endoscopic sinus surgery helps to treat sinusitis and minimize the chances of nasal infection by clearing the airways and allowing mucus to properly drain. This procedure may be right for you if you are facing problems such as:

  • Difficulty breathing
  • Facial pain or pressure
  • Sinus headaches
  • Poor sense of taste or smell
  • Sinusitis
  • Nasal polyps
  • Tumors

During your consultation, Dr. Paine will carefully observe your condition to determine if endoscopic sinus surgery is the right procedure for you. Some of these same symptoms can be the result of an allergic reaction, which will require different treatment.

The Endoscopic Sinus Surgery Procedure

Dr. Paine will use an endoscope—a thin, lit telescoping surgical camera—to view your underlying facial structure without having to lift the skin. The endoscope is inserted in through the nose in order to access the sinuses. Dr. Paine will then be able to identify what is causing the nasal obstruction. Next, using specialized surgical instruments in combination with the endoscope, Dr. Paine will carefully correct the underlying problem without ever having to cut through the skin.

After Your Endoscopic Sinus Surgery

You will be able to return home the day of your sinoscopy with little to no downtime. Roughly 80 to 90 percent of patients who undergo this procedure experience a significant improvement of their symptoms.

Endoscopic Sinus Surgery

Contact our office today to schedule your consultation for endoscopic sinus surgery with West Virginia ENT specialist and board-certified cosmetic surgeon, Dr. A. James Paine, Jr.

Allergy Injections


Allergy injections, (immunotherapy), are treatments we use to improve the way your body reacts to certain allergens. While it won’t completely cure your allergies, allergy injections can help to dramatically improve symptoms to reduce the severity and frequency of allergic reactions. Our allergy technician, can help to control your allergy symptoms with a personalized allergy injection treatment plan.

How Do Allergy Injections Work?

During your treatment, we will inject a small amount of the allergen into your upper arm. This will be whatever is causing your allergies—be it mold, pollen, pet dander, etc. When you first begin immunotherapy treatment, you will need to have these shots about one or twice a week. These shots are designed to get your body used to the allergen so you experience fewer allergic reactions. As you continue treatment, you will only need to have a maintenance dose every 2-4 weeks and then eventually just once a month.

During the immunotherapy treatment, you will notice an improvement of your allergy symptoms when you come in contact with the given allergen. Some patients’ symptoms may go away completely. If your symptoms do not improve, we can discuss other allergy treatment options with you.

Each allergy shot takes just minutes, but it is important that we keep you under our supervision for 30 minutes after your injection to watch for any unusual side effects. If after your allergy injection you notice itchy eyes, difficulty breathing, or a tight sensation in your throat, please return immediately or have somebody take you to the emergency room.

Minor side effects include redness, swelling, or irritation around the injection site. These are completely normal and should fade within a few hours.

Allergy Injections

Contact our office today to schedule your allergy injections consultation with our allergy technician.

Intradermal & Subcutaneous Testing

Allergy Testing

Runny nose, itchy and watery eyes? Ask about allergy therapy!

Whether you have seasonal or year-round allergies, we are always up-to-date with the latest allergy news and techniques, thus providing the best and most current care possible to our patients. The allergy department consists of a full-time allergy technician, thereby making it possible to provide in-house allergy testing and treatment.

When you are allergic to something, your immune system identifies the allergen and produces Immunoglobulin E (IgE) antibodies. When the IgE makes contact with your cells, it causes an allergic reaction—whether it’s sneezing and watery eyes or something more severe. However, knowing what is causing your allergies isn’t always so obvious. Professional allergy testing can help identify what is causing your allergy so proper treatment can occur.

In-house allergy testing consists of testing for an immediate reaction to the following allergens: cat, dog, horse, cockroach, approximately 15 different weeds and grasses, dust mites and approximately 8 different trees.

Skin prick testing involves orally applying a minuscule amount of the suspected allergen to the skin’s surface. Reactions occur within 15 minutes after application of the allergen. If significant reaction does not occur with this testing intradermal testing will be performed.

Intradermal allergy testing analyzes the way your skin reacts to different allergens to identify what is causing your reactions. A small amount of the allergen is injected beneath the skin’s surface and then observed for any signs of an allergic reaction. It will take about 10 minutes for a reaction to occur. Intradermal testing is more sensitive and provides more accurate results than that of skin prick tests.

It is extremely important that these tests be administered by an allergy technician. This will ensure your safety and avoid any unnecessary complications.

Allergy Testing

Find the cause of your allergies today and live a more comfortable tomorrow. Contact our office today to schedule your professional allergy testing with our allergy technician.

Balloon Sinuplasty

Are you suffering from chronic sinus problems? Are you tired of dealing with all of the pain and inflammation in your sinuses? If you are looking for relief, you are in the right place. Balloon sinuplasty is extremely effective at tackling chronic sinus problems. Patients often seek the help of ENT (ear, nose and throat) specialist, Dr. Paine, because the procedure is minimally invasive and proven safe.

How Is Balloon Sinuplasty Performed?

Balloon Sinuplasty opens blocked sinus cavities in four easy steps: 1) a guide wire and balloon catheter are inserted into the inflamed sinus, 2) the balloon is inflated to expand the sinus opening, 3) Saline is sprayed into the infected sinus cavity to flush out pus and mucus, and 4) the system is removed, leaving the sinuses open.


How Do You Know if You Are a Candidate for Balloon Sinuplasty?

To help you determine whether balloon sinuplasty is going to work for your specific situation, consider some of the common symptoms patients often suffer:

  • Pain in your face
  • Pressure in your face
  • Green or yellow discharge coming from your nose
  • Congestion
  • Sinus headaches
  • Diminished use of the sense of smell

What Is Recovery Like After Having Balloon Sinuplasty?

Since every individual is different, the recovery process is going to vary from patient to patient. However, the majority of individuals are able to return to their normal activities and work within just a couple days. You don’t have to worry about waiting for days or weeks to recover from this procedure. Before you know it, you can get back to your life and enjoy being able to breathe without having to deal with your previous pain and discomfort. One of the best things about this procedure is that the results can last as long as two years after having the procedure done.

If you were diagnosed as having chronic sinusitis and other medications aren’t working for you, it might be time to look into having sinus surgery. At Mountain State ENT & Aesthetics in West Virginia, this method has been proven to treat those who are suffering from many types of sinusitis problems. Using balloon sinuplasty, ENT specialist, Dr. Paine, can open up the inflamed sinuses and allow you to breathe easier.

West Virginia Balloon Sinuplasty

You may be able to have the procedure performed in Dr. Paine’s office using nothing more than a local anesthetic. Take the time to discuss Balloon Sinuplasty options with Dr. Paine in West Virginia today to see if balloon sinuplasty is the best option for you and your condition.