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 studyabout 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.

How to Select a Surgeon for Septal Perforation Repair

December 1st, 2014 Kirin

Finding the Best Surgeon to Repair a Perforated Septum

Because repairing a perforated septum is so complex, it is imperative that you select a facial plastic surgeon who is a noted specialist in nasal surgery and has performed hundreds of septal perforation repair surgeries, as well as Rhinoplasty and Revision Rhinoplasty surgeries.  But, that is just the beginning, there is far more you need to ask to truly identify the best possible surgeon to consult.

Questions to Ask:

Here are the key questions you want to ask during your selection process:

1.  How many septal perforation repair surgeries have you done?

Dr. Kridel has performed hundreds of this complex surgery.  A perforated septum is not a common medical condition and requires a great deal of skill to repair.

2. How many rhinoplasty and/or revision rhinoplasty surgeries do you perform each year?

Dr. Kridel does cosmetic nose surgery on about 150 patients each year and has performed over 15,000 successful Rhinoplasty or Revision Rhinoplasty surgeries. He is often referred to as “THE Nose Doctor” by his peers because of the level of his experience, skill and expertise.

3.  Have you taught major courses to your peers on septal perforation repair in the past 3 years?

Giving a course to other surgeons on the topic of septal perforation comes from having great expertise. Dr. Kridel is considered a cutting-edge leader by his peers, teaching many courses on septal perforation, rhinoplasty and revision rhinoplasty every year.

4. Have you written scientific papers on the subject of septal perforation?

No other doctor has published as many peer-reviewed scientific papers on septal perforation repair, rhinoplasty and revision rhinoplasty surgical techniques as Dr. Kridel.  He has published more than 80 scientific journal articles and medical textbook chapters on nasal surgery, including 20 specifically on septal perforation repair.

It is important to note that writing a medical journal paper and having it accepted for publication requires a very high standard of skill for peer review.  While some physicians have published articles for websites or for consumer publications, Dr. Kridel is one of the very few specialists who has published extensively on septal perforation in peer-reviewed scientific outlets.

5.  Have you lectured on this subject at major medical institutions on septal perforation repair in the past three years?

Dr. Kridel has been one of the invited faculty members to numerous AAFPRS and other Advanced rhinoplasty and facial plastic surgery courses every year to speak on the subject of septal perforation repair.  He is considered one of the most sought after speakers having lectured on this subject throughout the U.S. and all over the globe.

6.  Do other doctors refer patients to you with this condition?

Most surgeons do not want to attempt such a difficult surgery.  Because of his reputation, specialists from all around the country, including ENT, facial plastic, general plastic and general surgeons, refer patients with septal perforations to Dr. Kridel to obtain the highest possible level of care for their patients.

7.  Do other doctors refer themselves and/or family members to you for septal perforation repair or any other type of nasal surgery, such as Rhinoplasty or Revision Rhinoplasty?

Due to his expertise, Dr. Kridel is often referred to as “The Nose Doc” or “The Doctor’s Doctor”.  He is the surgeon other surgeons go to for nasal surgery of any type, particularly septal perforation repair, Rhinoplasty and Revision Rhinoplasty.

8.  Do you have an appointment to a medical school and are you actively involved?

Dr. Kridel serves on the faculty as a Clinical Professor and Director, Division of Facial Plastic & Reconstructive Surgery, Department of Otolaryngology – Head and Neck Surgery, at the University of Texas Medical School in Houston. He is also on the medical staff of several Houston hospitals, including Methodist Hospital.

9. What is your success rate?

Our success rate is 99%.  In some cases, where a perforation is quite large, the surgery may need to be done in phases, requiring more than one operation.  Dr. Kridel is the leading expert and will be honest with you about the possibility of repair.  While he has successfully closed extremely difficult cases that others could not repair, he (nor any other surgeon) can ever promise closure.

10.  Are there before and after patient photos I can view?

Dr. Kridel and the clinical staff will be happy to show you before and after photos of patients who underwent septal perforation surgery.  Since the perforation is inside the nose, photos are taken during surgery.

However, many patients also have rhinoplasty or revision rhinoplasty at the same time.  This is a cosmetic procedure and it is important for you to view before and after photos of other patients who have also had similar aesthetic adjustments to make an educated decision. Remember that any plastic surgeon can do nose surgery, but very few can do it well.

11. Are you board certified in otolaryngology, head and neck surgery, facial plastic surgery and cosmetic surgery?

A board certification is given when a doctor passes a test after completing a residency program; therefore boards should not be the sole criterion of your doctor search.  Sadly, many review sites rely on this criteria rather than identifying other qualifications that speak to relevant surgical skills.

However, when a physician is certified by the American Board of Facial Plastic and Reconstructive surgery (ABFPRS), he or she has gone a step above other boards because the ABFPRS requires as an entry level to even take its exam that the applicant is already certified by the American Board of Otolaryngology, Head and Neck Surgery.  The additional training required to reach this second level of certification provides you with additional confidence that your surgeon focuses on the area you are concerned about.  Dr. Kridel is also certified by the American Board of Cosmetic Surgery.

12. Have you received honors or awards for your surgical skills?

Dr. Kridel has received all of the highest honors for surgical excellence from his specialty — the Mark Rafaty Award and the William K. Wright Award.  He has also received the Dean’s Award from the University of Texas Medical School in Houston, as well as all of the Top Doc honors every year for the past 10 years, such as Castle Connolly and H-Texas Magazine to mention a few.

13. Do you have a fellowship program?

Dr. Kridel is so well respected that he oversees an AAFPRS (American Academy of Facial Plastic and Reconstructive Surgery) fellowship program. He has trained over 30 fellows.  For one fellowship spot, he receives over 25 applications each year from doctors who want to work alongside an acknowledged master of his specialty.  There are only 48 such programs in the entire country.

Having a fellowship program is considered quite an honor. Dr. Kridel believes it is important to share his expertise with others.  However, it is important to understand that the Fellow does not perform surgery, ONLY Dr. Kridel performs the septal perforation repair surgery.

14.  How often do you see patients following their surgery?

At FPSA, we take great pride in having the highest level of patient care available.  We are devoted to our patients and treat each one as if they were our own family member.  Patients who have septal perforation surgery will visit us the very next day following surgery and many times during their first two weeks post-operatively.  In addition, Dr. Kridel follows his patients at the three month, six month and one-year mark to monitor the success of the repair.  All post-operative visits are included in the cost of the surgery.

15. Do you have patients I could contact who have had septal perforation repair surgery?

Dr. Kridel and the staff at FPSA would be happy to provide you with names of patients who would be happy to share their success stories with you.  Having this surgery has been life changing for many and these patients want the same happiness for you.

— Kirin, Facial Plastic Surgery Associates, Houston

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

And, to learn more about septal perforation go to, which is a site Dr Kridel developed specifically to help educate patients.

You can also see  Dr. Kridel’s video about septal perforation repair surgery and an interview with one of Dr. Kridel’s patients who had successful repair surgery.

You can also learn more about Rhinoplasty surgery at

Facelift Benefits Are Abundant

November 28th, 2014 Kirin

Benefits of the Modern Facelift Are Significant

A modern facelift procedure, like the MVP Lift, is a fine-tuned facial plastic surgery approach that can be life-changing for patients.  Given advancements in techniques, including several pioneered by Dr. Kridel, the procedure is now a reliable method, sought out by men and women across many age groups and ethnicities for facial rejuvenation.

What is an MVP Lift?

An MVP Lift, or multi—- vector positioning lift, is the advanced technique used by Houston facelift specialist Dr. Russell Kridel.  It requires meticulous dissection and re-draping of the tissue layers to deliver the most natural facelift results.

Modern MVP Facelift Benefits

For the thousands of patients that undergo facelift surgery each year, the benefits have far outweighed the risks. Face this modern surgery with the hope that these benefits will far outweigh whatever minor risks are still a part of this plastic surgery procedure.

  • The term facelift is a misnomer.  With an MVP Lift it is actually a cheek, jawline and neck lift that can alleviate loose skin, deep wrinkles, jowls, lost contour to the lower face.
  • With Dr. Kridel’s hidden incision technique, your incisions will be virtually undetectable.
  • Results from an MVP facelift will be natural for a new, younger version of yourself and not a windblown or tunnel effect that makes you unrecognizable.
  • Facelifts can alleviate that exhausted, worn down look from your face — dialing back the hands of time by ten to fifteen years.
  • Risks of a modern MVP facelift are very minor with a very low rate of occurrence.
  • Recovery time following a facelift lasts about two weeks, a fair trade for the incredible results.
  • The amount of pain and discomfort is minimal for the majority of patients.
  • Facelifts can boost self-confidence and improve a patient’s self-image.

Major improvements —  but, there are still risks

A facelift is still a major surgery, no matter how advanced the techniques have become. Surgeries also always involve risks and potential side effects, which patients can work to prevent with the help of an experienced facial plastic surgeon like Dr. Kridel.

Originally, the yesteryear facelift was just a facial skin tightening procedure and not much more. During this surgery, the surgeon would lift the skin and pull it tighter, placing it into a new position. Any excess skin was removed before the incisions were stitched up. Because no efforts were made to strengthen the structure of the face, the sagging tissues or the muscles beneath the tighter skin, results would not last for very long.

Today’s modern facelift procedure is a fine-tuned approach that, when delivered by a board certified facial plastic surgeon, can result in a more youthful appearance for many, many years.  While we cannot stop the aging process, following an MVP lift you have re-set the time clock by ten years or more.

Selecting a Facelift Surgery Specialist

You should only trust your face to a specialist in facial plastic surgery. Board-certified facial plastic surgeons focus solely on procedures of the head and neck and do not perform other body procedures, such as breast augmentation.  In addition, you want to make sure the facial plastic surgeon you select performs at least 50 or more facelifts each year and shows you before and after photos of actual patients.  Looking at the angle of the photography is also important, so that you can see the quality of the incisions.

At FPSA, “Our Results Show and We Are Proud of Them”

Dr. Russell Kridel is a triple-board certified facial plastic surgeon with over 20 years of experience.  He has published over 100 scientific journal articles and textbook chapters on facial rejuvenation surgical procedures, including facelift surgical techniques.  He is invited to speak at plastic surgery conferences all around the world to educate and train other surgeons on his MVP Facelift approach.  He has received numerous awards, including the top two honors by the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) for surgical excellence.

As a result of his internationally recognized expertise in facial plastic surgery, Dr. Kridel is known as “The Doctor’s Doctor” —- the surgeon that other physicians refer other patients as well as themselves and their own family members go to for their facial plastic surgery concerns.

Needless to say, you will be in the best of hands with the best facelift surgeon in Houston —  Dr. Russell 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 for a few of his videos on facelift and facial rejuvenation procedures.



Rhinoplasty Expert Dr. Russell Kridel Shares Knowledge

November 27th, 2014 Kirin

Dr. Kridel Invited as Faculty Member to myRhinoplasty Course

Rhinoplasty Expert, Dr. Russell Kridel

Russell Kridel, MD was a featured faculty member at the recent myRhinoplasty course at the Royal College of Surgeons in London, England.  As an internationally recognized leader on nasal and facial rejuvenation surgical techniques, Dr. Kridel was invited to share his expertise with other surgeons attending the meeting.

The well respected myRhinoplasty meeting was designed to enhance participant’s understanding of nasal deformity and the options and rationale for contemporary correction. The international, multi-specialty faculty represented the highest standards of intellectual inquiry leading to contemporary nasal analysis and planning, and the art of surgical mastery.

Rhinoplasty expert Dr. Kridel was one of just four surgeons from the U.S. invited to speak about several of his advanced  Rhinoplasty surgical techniques to an audience of multi-specialty surgeons attending the course from around the world. He presented three courses on Rhinoplasty —”Dorsal Reduction and Restoration: Focus on the Middle Third”, “Using Costal Cartilage”, “Correcting Disorders of Tip Projection and Rotation” and, was on two scientific panels.  Dr. Kridel also presented a course on one of the most complex nasal surgeries that few surgeons perform, “Repair of Nasal Septal Perforations.”

“Julian and Mehmet should be congratulated on an excellent course,” confirmed Dr. Kridel.

Royal College of Surgeons, London

The Royal College of Surgeons is a venerable institution in London with a classic Roman architecture outside and beautiful elegant wood paneled rooms on the inside with many artifacts and statues from generations of surgeons who have advanced surgical standards and quality care for patients.

As one of the most renowned Rhinoplasty and Septal Perforation experts, Dr. Russell Kridel is often invited to speak at medical conferences to share his surgical expertise with other surgeons looking to improve their skills.  Dr. Kridel is often referred to by his peers as “THE Nose Doctor,” because of his expertise, surgical awards and all of the significant contributions he has made to facial plastic surgery and quality patient care.

There is no other facial plastic surgeon in Houston that has the depth of expertise, experience and reputation in regard to nose surgery, including Rhinoplasty, Revision Rhinoplasty and Septal Perforation.

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 for a consultation with Houston Rhinoplasty expert, Dr. Russell Kridel, contact us at 713/526-5665.

You can also learn more about Rhinoplasty surgery at

And, to learn more about septal perforation go to

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on Dr. Kridel’s YouTube channel.



Angela Sturm MD Awarded Houston Business Journal 40 Under 40

November 9th, 2014 Kirin


Award winner, Dr. Angela Sturm

Angela Sturm, MD is a board certified facial plastic surgeon and Associate at Facial Plastic Surgery Associates. Shevcontinues to make a positive impact in her community and her profession. Dr. Sturm was awarded Houston Business Journal 40 under 40, a significant accomplishment for a young surgeon.  She was recently recognized at the HBJ award ceremony and was written up in the September 17 issue of the Houston Business Journal recognizing all of the award winners.

Peers and patients have shown their overwhelming support and respect for Dr. Sturm. She has received numerous accolades in the past year, including Patients’ Choice Award and Compassionate Doctor Award by, H-Texas Magazine Top Doc, Best Female Cosmetic Surgeon in Out Smart Magazine, Blazing Star Award by Texas Women’s Chamber of Commerce, Top Women in Business and one of the Top 30 Influential Women of Houston.

Please join Dr. Russell Kridel and all of us at Facial Plastic Surgery Associates (FPSA) in applauding Dr. Sturm for all of her accomplishments.

Check out detail from the HBJ issue: Angela Sturm MD Awarded Houston Business Journal 40 under 40 and photos from the award ceremony.

For more information about Dr. Sturm visit  Or to make an appointment with Dr. Sturm, call Facial Plastic Surgery Associates at 713/526-5665.