“Let’s Talk About Breathing Easy” — A Q&A with Dr. Tracie Hoggarth on Brachycephalic Health Concerns
Q: Dr. Hoggarth, we see a lot of adorable short-nosed breeds like Bulldogs, Pugs, and Frenchies. What’s the biggest health concern for these brachycephalic dogs?
Dr. Hoggarth: Without a doubt, breathing issues are top of the list. These breeds have what's known as Brachycephalic Obstructive Airway Syndrome (BOAS), a condition where the structure of their skull and airways makes it much harder for them to breathe comfortably. This can include narrow nostrils, elongated soft palates, and small windpipes—all of which make simply getting enough air a challenge.
Q: How can an owner tell if their dog is struggling to breathe?
Dr. Hoggarth: Great question. Some signs are subtle at first. You might notice your dog snoring loudly even when awake, having noisy or labored breathing, tiring quickly during walks, or avoiding exercise altogether. More serious signs include panting excessively when it’s not hot, gagging, or cyanosis (bluish gums or tongue). These are red flags that their body isn’t getting enough oxygen, and they should be evaluated right away.
Q: When is the ideal time to consider corrective surgery for BOAS?
Dr. Hoggarth: Earlier is often better. We typically recommend surgical correction before a year of age, especially if the pup is already showing signs of airway obstruction. Early intervention can prevent long-term damage to the larynx and lungs and improve quality of life. Surgeries can include nostril widening (nares resection), soft palate trimming, or even addressing everted laryngeal saccules if present.
Q: What does recovery look like after surgery?
Dr. Hoggarth: Most dogs recover very well. There may be some mild swelling or temporary coughing after surgery, but they’re usually home the same day or the next. Owners often report that their dog is happier, more playful, and more energetic after they can breathe more easily. It’s really rewarding to see.
Q: For families considering getting a brachycephalic puppy, what should they look for?
Dr. Hoggarth: Always look for a reputable breeder who’s focused on health, not just appearance. Ask if the parents have had BOAS surgery or if the breeder selects for dogs with open nostrils and less exaggerated features. Meet the puppy in person if you can, and observe how easily they breathe, especially during play. And remember—these breeds are incredibly lovable, but they do require lifelong attention to their airway health.
Have questions about your brachycephalic dog’s breathing? Let’s talk.
Two Rivers Vet is here to help your pup breathe easier and live a full, happy life.
