New Revision Rhinoplasty Staging System Published

June 11th, 2016 admin

141223-fps-265x265Throughout his career, Russell Kridel, MD, has made numerous significant contributions to his specialty of facial plastic surgery.  For example, he has pioneered several Rhinoplasty and Revision Rhinoplasty surgical techniques that are considered the gold standard among peers and taught in medical schools throughout the U.S. and the world.

His passion for advancing medical techniques and sharing that knowledge with other physicians, along with the ultimate goal of advancing the quality of patient care and surgical success, is once again revealed in his recent journal article, “A Staging System for Revision Rhinoplasty.”

Dr. Russell Kridel and Dr. Regina Rodman, recently introduced a new staging system, the PGS System, to determine the overall difficulty of surgery for revision rhinoplasty. Their findings have been released and published in the prestigious JAMA Facial Plastic Surgery Journal; “A Staging System for Revision Rhinoplasty.”

The 3 major components of the PGS system can be described as; the “P” represents “problem,” consisting of the specific anatomic anomaly with which the patient presents. The second component in our system is “G” for “graft,” based on the number of grafts required. The third component of this system is “S,” for “number of previous surgical procedures.” In addition, Kridel and Rodman have included a category “E,” for “patient expectations,” which is added after the stage of the patient’s condition has been determined through the PGS classification.

As Dr. Kridel states in the journal article, a standardized evaluation system such as PGS System, will allow meaningful comparisons of surgical techniques and evaluations of outcomes of rhinoplasty procedures among physicians.  In addition, the PGS preoperative staging system also help patients understand the degree of difficulty of their required repair and help manage expectations.

The journal article also contains a very informative audio interview (JAMA Facial Plastic Surgery podcast) with Russell Kridel, you won’t want to miss about this exciting classification system.

There has also been additional media attention given to Dr. Kridel’s PGS system, noted here.

Dr. Kridel has published more than 65 scientific journal articles and text book chapters on Rhinoplasty and Revision Rhinoplasty.  Physicians seek out Dr Kridel for their own surgery, as well as refer friends and family because of his skill and expertise.  It is no surprise that he is known throughout Houston and the country as “The Nose Doctor.”

You can see some of Dr. Kridel’s before and after Rhinoplasty photos here.  When you come in for your consultation you will also be able to review other photos not available on the Internet.

You can see Dr. Kridel talk about Rhinoplasty surgery on multiple videos on You Tube.  Check out this one where Dr. Kridel speaks about Rhinoplasty surgery.

To make an appointment with Houston Rhinoplasty specialist, Dr. Kridel for a consultation, please call 713/526-5665.

Facelift Surgery Expert, Dr. Russell Kridel, Speaks at International Conference

March 24th, 2016 admin
Russell Kridel, MD speaks at conference in Bogota, Colombia

Acclaimed facial plastic surgeon, Dr. Russell Kridel, speaks to surgeons attending medical conference

Russell Kridel, MD was a featured faculty member at the recent 14th International Course on Facial Plastic Surgery & Rhinology in Bogota, Colombia. As an internationally recognized leader on Rhinoplasty and Facelift surgical techniques, Dr. Kridel was invited to share his expertise with other surgeons attending the meeting.

Dr. Kridel was invited to discuss several surgical techniques he pioneered to an audience of multi-specialty surgeons attending the course from around the world. He presented numerous master level courses, including three courses on Rhinoplasty —“Top Modifications in Rhinoplasty: Increasing Definition and Projection”, “Tip Modifications in Rhinoplasty: Deprojection and Improving Columellar Disproporation”, and “Lessons Learned in 30 Years of Rhinoplasty.”

Dr. Kridel also presented two courses on progressive face lift approaches.  “Simplifying Facelifts” gave attendees new insight into planning facelift surgery for the greatest efficiency and patient success.  While his talk on “Adjuncts in Facial Rejuvenation (blepharoplasty, forehead lifting, facial implants, laser surgery)”, helped provide physicians with the tools of looking at how other surgical procedures combined with facelift can provide the most optimal result to meet a patient’s true aesthetic goal.

“It is a pleasure to speak to so many talented surgeons.  Sharing advanced techniques in this type of course environment benefits patients across the globe, “confirmed Dr. Kridel.

bogotaThe well respected course in Bogota, was designed to enhance participant’s understanding of facial plastic surgery approaches for contemporary correction. The international, multi-specialty faculty represented the highest standards of intellectual inquiry and surgical mastery.

As an internationally recognized expert on Rhinoplasty and Facial Rejuvenation, Dr. Russell Kridel is often invited to speak at medical conferences to share his surgical expertise with other surgeons looking to improve their skills.  He is referred to as “The Doctor’s Doctor,” by his peers because they entrust their family’ and their own facial plastic surgical needs to Dr. Kridel because of the depth of his surgical expertise exemplified by the highest surgical awards and honors as well as the volumes of scientific publications he has authored or co-authored on facial plastic surgery.

There is no other facial plastic surgeon in Houston that has the same level of expertise and respect in regard to Rhinoplasty, Revision Rhinoplasty and Facelift surgery.

To make an appointment for a Rhinoplasty or Facelift consultation with Dr.Russell Kridel, contact Facial Plastic Surgery Associates at 713/526-5665.

You can also learn more about Rhinoplasty surgery with Dr. Kridel at

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on our YouTube channel.

— Kirin, Facial Plastic Surgery Associates, Houston


Dr. Kridel and Dr. Sturm named as Houston Best Facial Plastic Surgeons

August 2nd, 2015 admin
Houston Best Facial Plastic Surgeons, Dr. Kridel and Dr. Sturm

Houston Best Facial Plastic Surgeons, Dr. Kridel and Dr. Sturm


In the recent Houston Culture Map entry, Dr. Kridel was ranked at the top of the popularity poll for facial plastic surgery and rhinoplasty. And FPSA Associate, Dr. Angela Sturm, was also named as one of the best in Houston in the article.  Needless to say, we are very proud of our surgeons and our entire FPSA team.  The numerous accolades Dr. Kridel and Dr. Sturm continue to receive, confirm what we know from all of our patients, that they are leaders in their specialty. And, in their hands, our patients from Houston and from around the world rave about their fabulous aesthetic results.

Certainly asking friends throughout the community for a recommendation, as noted in the Culture Map article, is one element of selecting a cosmetic surgeon — however,  we can not emphasize enough the importance of asking several key questions as you go through the selection process.  Remember, all surgeons are not great and all surgeons are not great at all things.  You want to be sure to select a specialist in the surgery you desire to help reduce the possibility of an undesirable result.  This takes some homework for patients, but is well worth the effort.

In the Culture Map article, Dr. Kridel outlines the most important questions for every patient to ask in selecting a plastic or facial plastic surgeon. Be sure to capture this list or print it out and take it with you to your appointments.

Dr. Kridel and Dr. Sturm have very extensive training and surgical experience.  You can readily review their resumes, which include extensive scientific publications on a wide range of facial plastic surgery procedures, including; face lift, rhinoplasty, revision rhinoplasty and much more,  on the site.  The site also contains a great deal of information about various surgical and non-surgical procedures for educational purposes.

Congratulations, once again, to Dr. Russell Kridel and Dr. Angela Sturm, for being named Houston best facial plastic surgeons by Culture Map.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment with facial plastic surgery specialists, Dr. Kridel or Dr. Sturm,  for a consultation, please call 713/526-5665.




Rhinoplasty Specialist Shares Knowledge

February 17th, 2015 Kirin

Sharing Knowledge of Advanced Rhinoplasty Techniques Helps Patients Everywhere

Visiting surgeon, Dr. Aftab Ahmed with Dr. Russell Kridel

Surgeons from around the world travel to Houston, Texas each year to visit internationally recognized Rhinoplasty specialist and expert, Dr. Russell Kridel.  Recently, Dr. Aftab Ahmed from Manchester, England, came for several weeks to observe Dr. Kridel’s advanced facial plastic surgery techniques, including Rhinoplasty and Revision Rhinoplasty, to enhance his own training and take back learning he can apply to his own patients.

Dr. Kridel believes it is important to share his knowledge and advanced techniques with other surgeons so that patients from all around the globe can receive the highest level of care.  He also believes the dialogue between experts helps stimulate new techniques, refinements and scientific breakthroughs that further benefits patients.

What does this mean for patients in Houston and other parts of Texas and the U.S. in selecting a facial plastic surgeon for their Rhinoplasty?

The fact that other surgeons travel at their own expense to learn from Dr. Kridel further validates his reputation as one of the best facial plastic surgeons and nasal surgery specialists in the world.  In addition, Dr. Kridel is an invited guest lecturer every year to the most prestigious medical conferences by other facial plastic and general plastic surgeons. Thus, patients who select Dr. Kridel for their Rhinoplasty or Revision Rhinoplasty surgery can feel further validated that they have made the best selection for their care.

What is important about being asked to lecture at a medical conference as a Rhinoplasty Specialist and Expert?

Only the best and the brightest surgeons get invited to be a guest lecturer at the most prestigious aesthetic surgery conferences.  These conferences are put on by professional medical societies, so they only select surgeons that are considered the experts in their field.  To be considered an expert, a surgeon must publish scientific journal articles and textbook chapters that are reviewed by other surgeons first for accuracy and validity.  In addition, a surgeon needs to have a proven surgical track record of success.  Dr. Kridel is recognized as a premier expert  in facial plastic surgery because he has published over 100 scientific journal articles and textbook chapters, pioneered numerous advanced surgical techniques now taught in medical schools, been given the highest awards for surgical skill by the American Academy of Facial Plastic & Reconstructive surgery and named clinical professor of the year by the dean of the University of Texas Medical School in Houston, just to mention a few of his accomplishments.

Do visiting surgeons do any of the surgery on Dr. Kridel’s patients?

Absolutely not.  Visiting surgeons come only to observe Dr. Kridel. They have their own patients and their own practices.  Dr. Kridel does all of his own surgery.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment with Rhinoplasty specialist, Dr. Kridel for a consultation, please call 713/526-5665.

You can see some of Dr. Kridel’s before and after Rhinoplasty photos here.  When you come in for your consultation you will also be able to review other photos not available on the Internet.

You can see Dr. Kridel talk about Rhinoplasty surgery on multiple videos on You Tube.  Check out this one where Dr. Kridel speaks about Rhinoplasty surgery.





How to repair a perforated nasal septum

January 18th, 2015 Kirin

Septal Perforation Repair Explained:

Repair of a septal perforation, also known as a perforated septum, is considered one of the most technically challenging nasal surgeries.  Since a septal perforation is a three-layered hole in all three tissue layers of the septum, repair of septal perforations must address reconstructing all of these three layers to achieve the greatest success.

Success of a repair should be based not only on the closure of the perforation, but also restoration of the physiological function of the nasal septum. In other words, in addition to making sure the hole is closed and you are symptom-free, the surgeon should also make sure that you can breathe normally once again.

In general, techniques which utilize extensively mobilized, bilateral, intranasal mucosal advancement flaps and interposition and anchoring of a connective tissue-type graft have the most success.

For the majority of septal perforation repair surgeries, Houston nasal surgery specialist, Dr. Russell Kridel utilizes an open rhinoplasty approach rather than a closed approach. An external rhinoplasty approach allows Dr. Kridel to gain greater access to the septum where the perforation resides.  Not only does this approach have a proven high success rate in restoring normal nasal function and physiology it also has the advantage of allowing Dr. Kridel to combine rhinoplasty surgery at the same time.  Many patients desire cosmetic improvement of their nose as well as the functional repair.

Dr. Kridel is regarded within the medical community as THE EXPERT in septal perforation repair. He has pioneered and refined surgical techniques that have proven to be effective in closure of septal perforations, with a 99% success rate.  His techniques are considered the gold standard among surgeons around the world. Dr. Kridel has published more than 60 scientific journal articles and textbook chapters on Rhinoplasty techniques, with more than 15 specifically on the subject of septal perforation repair.  No other nasal surgery specialist currently active in private practice in the U.S. has published as many scientific papers on perforated septum repair as Dr. Kridel.

Other methods of repairing a perforation can involve the use of other materials such as skin grafts or grafts from inside the mouth that have been transferred up to this area. The problem with skin grafts or grafts from the mouth, or totally free grafts, is that these grafts do not fill the hole with the same kind of normal lining tissue of the nose. Skin grafts in the nose tend to shed and crust continuously. Free grafts sometimes fail and die in the nose leaving you with the original perforation or a worse problem. Grafts from inside the mouth are very drying and never feel normal. Additionally, these other techniques have about a 50% success rate. Dr. Kridel does not use this type of approach.

Septal perforation repair in the hands of the right surgeon can be a life changing, life improving, event.  Just ask our patient Mark, who came all the way from Australia, after visiting surgeons all around the world, to have his perforated septum repaired by Dr. Kridel.

So, if you want to know how to repair a perforated nasal septum, look no further than contacting Dr. Russell Kridel at Facial Plastic Surgery Associates in Houston, TX. To make an appointment for a consultation with Dr. Russell Kridel about septal perforation repair, contact us at 713/526-5665.

— Kirin, Facial Plastic Surgery Associates, Houston

You can also see  Dr. Kridel’s video about septal perforation repair surgery.

And, if you are interested in cosmetic improvement of your nose as well, you can learn more about Rhinoplasty surgery at




Top 5 Facelift Tips

January 12th, 2015 Kirin

Follow these facelift tips and you will celebrate 2015 with a new look that is natural and specific to your aesthetic goals.

Countdown to the Top 5 Facelift Tips for 2015:

5.  Pamper Yourself

Immediately after your facelift surgery, you won’t be able to enjoy some of your favorite pampering activities.  So, go ahead and get your manicure and pedicure done a few days before your surgery. Get your hair cut and colored as well since you won’t be able to do so for about 4-6 weeks after your facelift. And in anticipation of not being able to take a shower for a few days, take a relaxing shower or bath the night before or early morning of your surgery.  However, don’t apply any products to your face or hair afterwards as you want to be in your most natural state at the time of surgery. A unique feature of an MVP Lift (MVP Facelift) with Dr. Russell Kridel, we will shampoo your hair for you a couple of days after your surgery. You will leave the office with an extra skip in your step.

One trick if you don’t want anyone to know you had surgery, is to change your hairstyle as well just before surgery.  After your facelift, your friends will be looking at your overall new look and your secret will remain safe.

4.  No Smoking

Smoking is a major “do not do.”  It is at the top of the list of habits to avoid for good reason. The nicotine and chemicals found in cigarettes can restrict the blood vessels and make it very difficult for the body to heal.  You must alert your facial plastic surgeon if you are a smoker during your consultation and patient history.  Because the detrimental effect of smoking is so significant, many surgeons will not operate on an active smoker at all. Some will require that you stop smoking for at least 3 to 4 weeks prior to surgery and 4 to 6 weeks after surgery.  Blood tests can actually confirm whether or not you are compliant. The best course of action of course, is to permanently quit months in advance.

3. Plan Ahead

When you have an MVP Lift at FPSA (Facial Plastic Surgery Associates) you will stay overnight in the hospital.  This is to make sure you are comfortable and relaxed. The day after your surgery you will visit our office so that we can change your dressings. Following the overnight hospital stay, you will be recuperating at your home.  While the majority of patients find the recovery process much easier than they thought it would be, there will still be some discomfort.  It is critical to follow the post-operative instructions provided to you.

So, in preparation for your post-operative care regimen it is a great idea to plan “creature comforts” in advance of surgery — from making sure you have a loved one nearby for the first few days, to having your favorite sheets and pillows on your bed.

Set up a dedicated recovery area near your bedside with pillows, blankets, and plenty of comfortable, loose-fitting clothes with buttons or snaps, that don’t pull over your head. Fill a basket with your written instructions, medical supplies, water bottles, medications, and healthy snacks so you have everything you need right at your fingertips.

2. Create Your Own Checklist

At FPSA, we will set up all of your post-operative appointments prior to your surgery and we will provide you with complete pre and post-operative instructions.  However, it is really helpful to make a complete checklist, including all of your personal to-dos, before your facelift.  By creating a list based on a timeline countdown before your surgery and all the way through to one month after your surgery, you will be completely organized during the entire process.  You will include everything from all of your appointments with FPSA to picking up your dry cleaning.  Think of it as a personal vacation and you will be rewarded with a new look with very little stress.

1. Select the best facelift surgeon in Houston

To achieve a natural look, it is imperative that you select your surgeon carefully. After all, the success (or failure) to achieve your aesthetic goals lies solely in the hands of your surgeon.  The first step is to be sure to select a board-certified facial plastic surgeon, because of their advanced training they are specialists who focus solely on the face and neck.  You don’t want a surgeon who performs far more breast augmentation surgeries to perform the more intricate and challenging facelift procedure.  You also want to be sure your surgeon has a great deal of experience, more than 50 facelifts annually, and can show you before and after photos of other facelift patients.  Make sure you ask to see close-ups of the patient photos so that you can see how the surgeon handles the incisions.  Sadly, at FPSA, we have seen patients who come to Dr. Kridel for a revision facelift to correct unslightly incisions from a poorly executed facelift by another surgeon. You also want to meet your surgeon in person for a consultation that includes digital photo imaging, so that you can see an image of what you can expect to achieve. At FPSA, your consultation is extremely thorough, you can expect to be with us for 1.5 to 2 hours. Dr. Kridel and our entire staff happily answer all of your questions during your visit. In addition, we are happy to provide names of other facelift patients you can speak with about the surgical experience with Dr. Kridel.

Dr. Russell Kridel is considered one of the best facelift surgeons, not only in Houston, but throughout the entire country.  He has published over 25 scientific journal articles and textbook chapters just on facial rejuvenation techniques.  His MVP Lift, multi-vector positioning facelift, is noted for its high success rate and fabulous natural results.  One of the keys to this technique is meticulous dissection and re-draping.  Dr. Kridel has also pioneered a “hidden incision” surgical technique that makes your facelift incisions virtually undetectable.  We often get comments from patients that their own hairdresser could not tell that they had a facelift.  He is often referred to as “The Doctor’s Doctor” because other physicians refer themselves, their family members and other patients to Dr. Kridel for aesthetic surgery because of his proven records of success and reputation for superior surgical skill in facial plastic surgery techniques. He has also been recognized annually by patients and peers as a Top Doc and Best Doctor for over 15 years.  Needless to say, you will be in the best of hands with Houston facelift specialist, Dr. Kridel.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment with Dr. Kridel for an MVP Facelift consultation, please call 713/526-5665.

To learn more about Dr. Kridel’s MVP Lift click here.

You can also go to Dr. Kridel’s You Tube channel to watch videos on facelift and facial rejuvenation.


Study Shows Increase in Rhinoplasty Popularity

January 7th, 2015 Kirin

Noted in the recently published “Rhino-popularity Report” by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Rhinoplasty is the most popular surgical procedure for both men and women under the age of 35 and the number one most requested facial plastic surgery procedure overall among men.  Over 500,000 people had consultations last year for Rhinoplasty surgery.

The uptick in Rhinoplasty popularity, also commonly referred to as ‘nose job’ is testament to the positive impact the surgery can make on a person’s appearance.  Even a minor correction can make a huge improvement in facial harmony and self-confidence.

Since your nose is the first thing you notice every time you look in the mirror, it is not surprising that patients would like to have imperfections corrected.  Per the study, the five most common reasons for having a rhinoplasty include, noses that are too long, too big, crooked or twisted, thick tip or a profile out of balance.

However, it is also important to understand that rhinoplasty is one of the most complex plastic surgery procedures.  Patients should make sure they select a facial plastic surgeon, like Dr. Russell Kridel, who specialize in this procedure and performs more than 150 every year.  No two people are alike and no two noses are alike.  To make sure you have a successful rhinoplasty surgery that results in a natural looking nose that looks like you could have been born with it, you need to be in the best of hands.

Houston facial plastic surgeon Dr. Russell Kridel is known by other physicians and patients as “The Nose Doctor” because of his international reputation as one of the best rhinoplasty surgeons in the country.  He has authored more than 60 scientific journal articles and textbook chapters on Rhinoplasty and Revision Rhinoplasty. Dr. Kridel has pioneered more than four surgical techniques for rhinoplasty that are now taught in medical schools across the country.  In addition, surgeons travel from all over the world to Houston to observe Dr. Kridel or to hear him speak at medical conferences around the world.  He has received the top awards for surgical excellence from the AAFPRS.

There is no other cosmetic surgeon in Houston that has the depth of expertise, experience and reputation in regard to nose surgery.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment for a consultation with Dr. Russell Kridel contact us at 713/526-5665.

You can also learn more about Rhinoplasty surgery and see before and after photos at

Watch multiple Rhinoplasty videos on Dr. Kridel’s YouTube channel.


Planning for Rhinoplasty Surgery

December 31st, 2014 Kirin


Like snowflakes, no two noses are the same.  Each of us has our own unique facial structure.  However, some people do not like the appearance of their nose relative to their other features they were born with or they dislike the altered look due to a nasal injury. Fortunately, Rhinoplasty surgery, which is the cosmetic correction of the nose, can help patients address their aesthetic concerns.

Often patients, who do not like their nose, see celebrity noses they like and come in with a photograph requesting a similar nose.  Just as you might want to have a particular celebrity’s hair style, picking out a celebrity nose from a tabloid magazine may seem like a good way to start your rhinoplasty planning process. After all, it looks great on their face, so why not yours? While the appeal is understandable, the possibility isn’t as realistic.

You are your own celebrity!

Just because a photograph of any one celebrity nose might be easy to find, it does not make it a good choice for you. Rhinoplasty is not a one size fits all kind of surgery. Proportions and balance of your specific nose and facial structures must be considered.  If you are not Kate Middleton, then Kate Middleton’s nose is not going to work well for you. To achieve the most natural looking nose that best complements your face, proportions and balance of your individual facial structure must be considered. If you’re really inspired by a certain nose, talk about what aspects are the most appealing to you with Dr. Russell Kridel. Often it is a feature of the celebrity nose, rather than the whole nose itself, that interests you. For example, you may like the rounded tip or smooth bridge.  These changes can be made relative to your face. So in combination with other nasal changes that Dr. Kridel may recommend, you will achieve a beautiful nose that looks natural to you, as if you were born with it.

Selecting the Best Rhinoplasty Surgeon in Houston

Rhinoplasty surgery is one of the most difficult surgeries of your face and neck.  It is critical that you select a facial plastic surgeon that focuses on  Rhinoplasty surgery.  Houston Rhinoplasty specialist, Dr. Russell Kridel is a world-renowned facial plastic surgeon and has published over 60 scientific journal articles and textbook chapters about Rhinoplasty (often commonly referred to as nose job) and Revision Rhinoplasty surgical techniques.  He has also won the top awards for surgical excellence from the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), as well as all of the Top Doc awards.  Within the medical and patient community, he is often referred to as “THE Nose Doc,” because of his recognized expertise and success in nasal surgery. No other facial plastic surgeon or general plastic surgeon in private practice in the Houston area has published so extensively nor performed as many successful rhinoplasty surgeries.

The Rhinoplasty Consultation

At FPSA, we believe you will experience the most thorough Rhinoplasty consultation of any other cosmetic surgeon in Houston.  We take great pride in providing patients with the information and time they need for such an important decision.  When you come in for a consultation, you will be with us for 2 to 2.5 hours. During that time, Dr. Kridel will do a thorough examination of your nose and you will also have a special Rhinometry test to evaluate your airflow function for breathing.  If you are having trouble breathing, Dr. Kridel will help make sure that your nose looks fantastic and that you can breathe well once again. During your consultation we will also take photos and then through digital computer imaging and review with Dr. Kridel determine what you can expect from your Rhinoplasty surgery. You will also view an informative video about nasal surgery and be able to look at a very extensive library of before and after photos of other Rhinoplasty patients of Dr. Kridel’s that are not available online.

Needless to say, if your nose is not becoming to you, you should be coming to Dr. Kridel.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment with Dr. Kridel for a Rhinoplasty consultation, please call 713/526-5665.

You can see some of Dr. Kridel’s before and after Rhinoplasty photos here.  When you come in for your consultation you will also be able to review other photos not available on the Internet.

You can see Dr. Kridel talk about Rhinoplasty surgery on multiple videos on You Tube.  Check out this one where Dr. Kridel speaks about Rhinoplasty surgery.



Indoor Tanning Damage and Aging Skin

December 30th, 2014 Kirin

Indoor Tanning Damage Can Result in Aging Skin

Recently, the AMA Wire published the synopsis (shown below) of media coverage on the CDC study about injuries from indoor tanning published in JAMA Internal Medicine .

Unfortunately, consumers are under the general impression that indoor tanning is safe and many are under the false impression that indoor tanning does not have the same effect on aging.  World-renowned Houston facial plastic surgeon, Dr. Russell Kridel comments on indoor tanning damage, “Not only can there be direct injury from indoor tanning like burns, but indoor tanning ages the skin prematurely and can lead to the development of skin cancers; children are especially vulnerable because the damage is cumulative over the years of one’s life.”

At Facial Plastic Surgery Associates, we see the results of women (and to a lesser extent of men) who have spent a great deal of time using indoor tanning facilities.  Since the majority of people start using tanning beds between the ages of 18 and 34, we are seeing patients in their 40s who have skin laxity and pigmentation issues that could have been avoided for many years.  Fortunately, there are a number of facial rejuvenation procedures and laser resurfacing treatments that Dr. Kridel can perform to help address these issues.  For the most significant skin laxity, facelift surgery provides the best results and can turn back the hands of time.  At FPSA, we also have three different laser modalities that can help address skin texture and pigmentation issues.  Dr. Kridel has published extensively in peer-reviewed scientific journals on facial rejuvenation topics and is recognized internationally as an expert in these procedures.

Prevention is still the best defense against aging skin. And one of the important recommendations is to stay away from indoor tanning.


Study: About 3,200 people suffered an indoor tanning injury every year in the US between 2003 and 2012.

USA Today (12/16, Painter) reports that a study by CDC researchers published in JAMA Internal Medicine indicates that “an estimated 1,957 indoor tanners landed in U.S.” emergency departments (EDs) “in 2012 after burning their skin or eyes, fainting or suffering other injuries.” CDC researcher Gery Guy “says the actual number of injuries is certainly higher because the study did not include injured people who did not go to” EDs.

The Today Show Online (12/16) reports that for the study, the investigators “looked at 405 actual reports of indoor tanning related injuries from 66 hospitals, extrapolated them to the whole population, and estimated that on average, 3,200 people suffered an indoor tanning injury every year in the U.S. between 2003 and 2012.”

The Washington Post (12/16, Bernstein) “To Your Health” blog reports that “skin burns are the most common injury and women are more than four times as likely as men to get hurt, probably because they are, by far, the more common practitioners of ‘indoor tanning,’ according to the” study. The blog adds that “younger adults, aged 18-34, sustain well more than half the injuries, again because they are the most frequent users of tanning beds.”

The AP (12/16, Tanner) reports, “The CDC says burns severe enough to require” ED “treatment indicate overexposure to UV radiation.” Although “manufacturers are required to install timers to limit exposure…the CDC study found some patients had fallen asleep while tanning.”

melanoma.” The researchers “also noted other sources for eye injuries, like when tanning bulbs broke and shattered into people’s eyes, Guy adds.” Reuters (12/16, Doyle) and HealthDay (12/16, Reinberg) also cover the story.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment with Dr. Kridel for an MVP Facelift, facial rejuvenation or laser resurfacing consultation, please call 713/526-5665.

To learn more about Dr. Kridel’s MVP Lift click here.

You can also go to Dr. Kridel’s You Tube channel for a few of his videos on facelift and facial rejuvenation procedures.


Nasal trauma injury addressed by Houston Rhinoplasty specialist

December 3rd, 2014 Kirin

Nasal Trauma Injury Needs to be Addressed


Sports injuries, accidents and other traumatic events can cause damage to the nose.  Many signs of injury to the nose are external and easily observed, such as, bruising, bleeding and swelling.  However, there can also be internal damage as well, including a fractured septum, deviated septum or a septal perforation that are not visible to the eye.

Surprising to many, the anatomy of the nose is very involved with many intricate and delicate elements, bone and cartilage. The geometry of the nose is highly complex with no straight lines or simple curves.  Airflow through the nose is a more complicated process than air over a jet wing.

When you injure your nose, there can be a wide range of damage done.  So, if your injury results in any symptoms such as swelling, disfigurement or difficulty breathing, you should seek out a consultation with a facial plastic surgeon, like Houston Rhinoplasty specialist,  Dr. Russell Kridel.

Timeframe for Surgery:

If the injury is extensive with visible bleeding, most patients go to the emergency room.  A wise decision. However, if the injury was not extensive, many patients believe little or no damage was done and simply put ice on their nose, wait for the swelling to go down and nothing else.  Sometimes, patients have a sports injury in childhood and adjust to abnormal breathing into adulthood until they have so much difficulty breathing they seek a physician’s help.

In fact, any impact with the nose can result in extensive damage, particularly internal injury.  If an injury occurs, here is a good overall timeframe to follow.

  • If your nose is bleeding excessively or you have a great deal of pain you should seek immediate professional medical care
  • For patients who notice any moderate to significant changes in breathing or have swelling and bruising, should see Dr. Kridel within a couple of days.  He will be able to assess the damage and help set a treatment plan.  Simple breaks or deviations can be reset within 7 to 14 days.
  • If Dr. Kridel finds the injuries require more extensive surgery, he will recommend surgery for about six months after the trauma and the nose has healed.

Septal Perforation:

In some cases, the traumatic injury can result in a perforated septum, which is a hole in the septum.  This hole cannot be seen in a mirror and left unidentified can actually grow in size over time.  A septal perforation can result in nasal crusting, whistling, difficulty breathing that can be both annoying and in some instances, debilitating.  One more reason not to wait to have an evaluation by Dr. Kridel following a traumatic nasal injury.  Fortunately, Dr. Kridel is recognized as the preeminent expert in septal perforation repair.  But, needless to say, he would far prefer that patients take more preventive and active measures following a traumatic injury to avoid a perforation if possible.

Correcting Damage from Nasal Trauma:

No two noses are the same and when traumatic injury is involved, the challenge is even greater because the internal anatomy may also have changed.  It is important that you identify a facial plastic surgeon to consult.  Facial plastic surgeons, like Dr. Kridel, have extensive training focused solely on the nose, head and neck.  To become a facial plastic surgeon, you must first complete a residency in otolaryngology, head and neck surgery. Then they complete an additional residency on facial plastic surgery.  So, they can address both the appearance, but also the function to restore or enhance the look of your nose and also make sure that you can breathe normally once again.  General plastic surgeons perform surgery on the whole body and do not have this additional training focused on the nose.

For the majority of patients, Dr. Kridel will need to perform a septoplasty to correct the damage to the septum.  He may also need to reduce the turbinates to improve airflow. In addition, in most cases the shape of the nose has also been altered as a result of the injury.  Where appropriate, Dr. Kridel will perform a rhinoplasty to correct and improve the appearance of the nose to match your aesthetic goal.

What sets Dr. Kridel apart?

No other plastic or facial plastic surgeon in Houston has as much expertise or experience in nasal surgery as Dr. Russell Kridel.  He is recognized as a world-renowned expert in Rhinoplasty by both peers and patients and is often referred to as “The Nose Doc” because of the depth of his expertise. Dr. Kridel has been performing facial plastic surgery procedures for over 20 years and currently performs more than a hundred fifty nasal surgeries per year. He has published over 60 scientific journal articles and textbook chapters on the subject of Rhinoplasty and has developed four innovative surgical techniques for nasal surgery that have been incorporated into the curriculum for plastic surgery training. Dr. Kridel is also invited as a featured guest lecturer on Rhinoplasty to the most prestigious medical symposiums in the U.S. and around the world. Dr. Kridel has also been named a Castle Connolly and H-Texas Magazine Top Doc from 2005 – 2014, among many other accolades. Because of this experience, physicians refer other patients, themselves and family members to Dr. Kridel for Rhinoplasty surgery.

Needless to say, you will be in the best of hands with Dr. Kridel.

— Kirin, Facial Plastic Surgery Associates

To make an appointment with Dr. Kridel for a  Rhinoplasty consultation, please call 713/526-5665.

You can see some of Dr. Kridel’s before and after Rhinoplasty photos here.  When you come in for your consultation you will also be able to review other photos not available on the Internet.

You can see Dr. Kridel talk about Rhinoplasty surgery on multiple videos on You Tube.  Check out this one where Dr. Kridel speaks about Rhinoplasty surgery.