Question for Dr. Kridel: How long does a Facelift last?

September 29th, 2011 admin

Most traditional full facelifts generally keep you looking younger and refereshed for 7 to 10 years.  You are always ahead of the game if skin has been removed and if muscles and fat pads have been re-suspended.  I like to think of it as shifting the conveyor belt of aging by 10 years.  Because alas, the aging process proceeds, and in every additional decade we age more.

What can be done before a second Facelift?

However, in the interim between lifts, laser skin resurfacing like Fraxel can reduce wrinkles and can tighten the underlying skin.  Thermage (radio-frequency laser) might help shrink the tissues.  Simple soft tissue fillers like Restylane, Juvederm or Radiesse can fill in folds and wrinkles.

—- Dr. Kridel

 

 

 

Question for Dr. Kridel: Do Osteotomies in Rhinoplasty Narrow Your Bridge?

September 28th, 2011 admin

Answer:

Recently, I have been asked several questions about how a hump on the bridge of the nose can be reduced without changing the width of the bridge and if lateral osteotomies are necessary with Rhinoplasty or Revision Rhinoplasty surgery.

First, here is a quick clarification on lateral osteotomies. The term osteotomy is derived from Greek and is defined in the medical dictionary as a surgical operation in which a bone is divided or a piece of bone is excised (as to correct a deformity). Lateral, of course, refers to the outer sides of the nose.

The more you take down a hump on the nasal dorsum (bridge) by rasping or any other method, the wider the bridge will appear. Think of it as truncating a pyramid; the more you take off at the top, the wider the remaining structure will appear. For that reason, when taking down a large hump, lateral osteotomies are often done so that the bridge does not look wider than before the reduction.

This is one of the many reasons why I believe it is important for Rhinoplasty and Revision Rhinoplasty patients to have photos taken when they see me for a consultation.  I have the photos computer imaged so that you can get an idea as to your goal for how wide you want your bridge following nasal surgery.

— Dr. Kridel

 

Scientific Presentations: Dr. Kridel guest lecturer on Rhinoplasty and Septal Perforation

September 19th, 2011 admin

AN EVENTFUL STAY AT THE CITY BY THE BAY

From September 8-11, leaders from the field of Facial Plastic Surgery came together in San Francisco to educate other aesthetic surgeons.  Doctors and guest faculty members were educated on the latest surgical techniques for facial plastic and reconstructive surgery.

Dr. Russell Kridel travelled to the 46th Annual Fall Meeting of the American Academy of Facial Plastic and Reconstructive Surgery in San Francisco, September 8-11, as an invited faculty presenter.

ETHNIC RHINOPLASTY:

Dr. Kridel gave two lectures focused on nasal surgery.  In his first lecture, “How to Obtain Stable Results in Ethnic Rhinoplasty,” Dr. Kridel presented his published techniques for providing structural support when performing cosmetic rhinoplasty to help ethnic patients maintain positive surgical outcomes over time. Building dorsal height, achieving nasal tip definition amidst thick skin, and producing a more aesthetically pleasing alar base are the major challenges. He also reiterated to the surgeons in attendance that the definition of ethnic rhinoplasty has evolved as the population has become more of a melting pot. Dr. Kridel stated that surgical planning should be sensitive to both individual and cultural differences in aesthetic perception and expectations.

SEPTAL PERFORATION:

Dr. Kridel also presented a talk on “The Nose Inside and Out: Septal Perforations,” which was available for Continuing Medical Education (CMD) credit for attending AAFPRS member surgeons and AAO-HNS (American Academy of Otolaryngology, Head and Neck Surgery) member surgeons.  Nasal septal perforations are holes in the septum that may be caused by trauma, nose-picking, previous nasal surgery and cocaine use. Dr. Kridel presented several case studies of recent septal perforation patients to demonstrate the surgical techniques he has pioneered. He has also written over 20 peer-reviewed medical journal articles on septal perforations and is considered one of the country’s leading experts on the procedure.

Over 700 facial plastic surgeons from the U.S. and around the world attended the conference to gain additional knowledge and training from guest speakers, such as Dr. Kridel, to take back to their practices.

To get more information on rhinoplasty  or ethnic rhinoplasty, specifically, visit http://www.todaysface.com/

To get more information on septal perforations visit http://www.septalperforations.com/