Dr. Kridel answers questions about what to expect with nasal surgery

January 25th, 2013 Kirin

It is important for patients to understand what to expect with nasal surgery. Dr. Kridel answers several common questions that relate to nasal surgery — both Rhinoplasty (also knwon as a Nose Job) and Septoplasty.

How long does nasal surgery take?

Nasal surgery, usually lasts about two hours in an outpatient surgical facility.  If it is a more complicated Rhinoplasty or Revision Rhinoplasty surgery, it will take additional time.

What do I feel like right after surgery?

You will likely wake up a bit groggy from having been under light anesthesia.  There’s a small external splint on your nose and a small dressing inside your nose.  Your nose feels stuffy, and slightly bloody mucous drainage may seep into the dressing applied below your nose.  You may also experience swelling and bruising around your eyes.

Will it hurt after surgery?

Few patients are bothered by pain related to this surgery. Actually, most people who have nose surgery describe any pain associated with rhinoplasty as “mild.”  You can take mild medication that is prescribed by Dr. Kridel after surgery to handle any discomfort.  However, it is important to avoid aspirin products and other medications that tend to increase bleeding.

What do I do after I go home from surgery?

After you go home, you should rest with your head elevated. Dr. Kridel may also suggest that you use a cold compress to minimize swelling.

When do I get the dressings off?

You will visit the office the day after surgery and the physicians will look at your nose  and remove any light packing and change the dressing.

When can I go back to work?

Most people can return to work or school a week after surgery, but you must wait several weeks before resuming significant exercise.  Air travel is allowed a week after having nose surgery.

If you had Rhinoplasty or Revision Rhinoplasty surgery, by the time you return to work or school, your nose will look really good. It will continue to improve over the months to come, and you will see your final result “settle in” after about a year. With Septoplasty surgery, it is functional nasal surgery and there is not a cosmetic improvement component.

Check out one of Dr. Kridel’s before and after Rhinoplasty photos:

Before Rhinoplasty with Dr. Kridel

After Rhinoplasty with Dr. Kridel

Dr. Kridel is passionate about providing the highest standards of care, including follow-up care. You will be visiting Dr. Kridel numerous times after you have the surgery and he follows patients for years. He has written dozens of medical journal articles about the longevity of the results of his surgical techniques.

—- Kirin, Facial Plastic Surgery Associates, Houston TX

Beware of Unproven & Unscientific Plastic Surgery Procedures

January 25th, 2013 Kirin


We often get calls about various procedures that have been heavily advertised directly to consumers, including the following procedures noted in this article in Allure magazine: Vampire Lift (injecting patient’s own blood plasma), SmartLipo (Laser Liposuction), Stem-cell Lift and Artefill (for lips).  Unfortunately, the majority of these procedures do not have scientific evidence of effectiveness and have not been written up in peer-reviewed medical journals by widely respected facial plastic surgeons.  Sadly, we actually see patients that have tried some of these “fad” procedures and now require revisions by Dr. Kridel.

The Allure magazine article, titled “The 10 most overrated trends in cosmetic surgery”, provides an interesting overview of many procedures that Dr. Kridel and Dr. Angela Sturm-O’Brien do not perform or recommend with one exception — Ulthera. In the article the criticism about Ulthera was based on patient discomfort (and not about poor results). Since this article was published  in mid-2012, Ulthera received FDA clearance to non-invasively lift lax tissue on the neck and under the chin, in addition to the FDA clearance they already had for non-invasive eyebrow lift. Ulthera also completed a system upgrade — Ulthera Amplify — to increase effectiveness and reduce patient discomfort.  At FPSA we have the new Ulthera Amplify system and Dr. Russell Kridel and Dr. Angela Sturm-O’Brien have  found that the majority of patients do not require medication for treatment.  However, for even greater comfort during Ultherapy, we can also apply topical cream to the treatment areas.

Dr. Kridel has also found great success using Sculptra for patients with hollow cheek areas.  However, like stated in this article, Dr. Kridel absolutely does not recommend Sculptra for use in the lips.  To view more information about Sculptra click here or to view videos of Dr Kridel speaking about Sculptra click here.

The best advice we can provide to patients about the latest cosmetic surgery fads — Buyer Beware.  Stay away from unproven, unscientific plastic surgery procedures and always seek out an experienced, board-certified facial plastic surgeon.

— Kirin, Facial Plastic Surgery Associates





Dr. Russell Kridel is Interviewed by the Houston Business Journal on Rising Health Care Costs

January 20th, 2013 Kirin

Russell Kridel, MD, FACS
Facial Plastic Surgery Associates
2013 President of HCMS

Internationally recognized facial plastic surgeon, Dr. Russell Kridel spoke to the Houston Business Journal about the important issue of rising health care costs in the January 11, 2013 issue of the Houston Business Journal.

As the new President of the Harris County Medical Society for 2013, Dr. Kridel shared his thoughts on the implications of the Affordable Care Act for healthcare providers.

He also stated that one of his goals during his tenure is to focus on the obesity epidemic  — helping doctors counsel their patients on healthy lifestyles and provide to tools to help them empower their patients to take greater control over their health.

Click here to read the entire article, “A New Prescription,” in the January 11th issue of the Houston Business Journal

— Kirin, Facial Plastic Surgery Associates



Ulthera Skin Tightening Treatment Continues to Shine in the Press

January 16th, 2013 Kirin

Dr. Kridel and Dr. Sturm-O’Brien are at the forefront of Ulthera technology for face and neck skin tightening




















The media buzz continues on the benefits of Ulthera™ in the new issue of New Beauty. Ultherapy is a face and neck skin tightening treatment, which uses micro-focused ultrasound waves for non-invasive tissue.  It lifts, firms and tightens lax skin naturally and with no downtime.

At Facial Plastic Surgery Associates, Dr. Russell Kridel and Dr. Angela Sturm-O’Brien have found that Ulthera has become a very popular treatment among patients, both young and old, who are not yet ready logistically, economically or psychologically for surgery. It is an ideal treatment for men and women with mild to moderate skin laxity. However, we do not recommend Ulthera for moderate to significant skin laxity and jowling which would more likely require a surgical procedure.

At the beginning of the New Year, Ulthera is an excellent treatment for patients that would like to start off 2013 with a more youthful and refreshed look without any downtime. Like all treatments, results can vary from patient to patient. However, with just one Ultherapy treatment the regenerative process has begun and many patients express some immediate results.  The full effect will build gradually over the course of two to three months and last about one to two years.

Check out Ulthera in the new issue of New Beauty.

Or view more detailed information about Dr. Kridel’s approach to Ulthera here.

— Kirin, Facial Plastic Surgery Associates, Houston TX

FPSA Congratulates Dr. Russell Kridel as he kicks off his term as the 112th President of the Harris County Medical Society

January 13th, 2013 Kirin

Russell Kridel, MD, FACS
President, Harris County Medical Society
Facial Plastic Surgeon

Effective January 1, Houston facial plastic surgeon, Dr. Russell Kridel has been installed as the President of the Harris County Medical Society (HCMS) for 2013.

The HCMS is the largest county medical society in the nation, with more than 11,000 physician and medical student members. Its mission is to be the leading advocate for its member physicians, their patients and the community, in promoting the highest standards of ethical medical practice, access to quality medical care, medical education, research, and community health.

Dr. Kridel is also very active with the Texas Medical Association (TMA) and American Medical Association (AMA). He currently serves as president of the TMA Foundation Board of Trustees, consultant to the TMA Council of Legislation, member of TEXPAC Board of Directors, and HCMS Delegate to the TMA. He also serves as chair elect on the AMA Council on Science and Public Health, AMA Delegate representing his specialty, and on the Governing Council of the AMA Specialty and Service Society. He is a former president with the American Academy of Facial Plastic and Reconstructive Surgery and has won numerous prestigious awards for surgical excellence, including The F. Mark Rafaty Award, the highest honor from the American Academy of Facial Plastic and Reconstructive Surgery.

Dr. Kridel’s presidency of the HCMS further demonstrates his passion for his profession and his patients, as well as his commitment to providing the highest standards of care.

Join all of us at Facial Plastic Surgery Associates in congratulating Dr. Kridel on this significant honor.

Check out the announcement in the Houston Business Journal. 

Dr. Russell Kridel explains how Botox really works

January 3rd, 2013 Kirin

One of the most popular ways to get rid of wrinkles is to use Botox. In 2011,      it was the top nonsurgical cosmetic procedure in the U.S. among both women and men, with more than 2 million treatments performed by physicians.

At Facial Plastic Surgery Associaties (FPSA), we believe it is important that patients are educated about the treatments that interest them. And, while Botox is very popular, it is important to also understand how it works.

Check out this brief video of Dr. Kridel explaining how a wrinkle relaxer, like Botox, works: How do wrinkle relaxers (neuromodulators) work?

Botox is just one of the many trade names for the neurotoxic protein called botulinum toxin, that is produced by the bacterium Clostridium botulinum. It is known as a Neuromodulator. Neuromodulators are sold commercially under the brand names Botox, Dysport and Xeomin.

Since this terminology is rather cumbersome, Dr. Kridel states that it is easier to think of a neuromodulator as a Wrinkle Relaxers.  A neuromodulator is a wrinkle relaxer because it is an inhibitor of neuromuscular activity. It blocks the communication between the nerve fiber and the muscle preventing contraction and temporarily relaxing the muscle.

Botox (or Dysport or Xeomin) is injected into muscles, where it blocks nerve impulses to those tissues. The muscle activity that causes the frown lines is reduced, and a smoother look results. Without a contracting muscle beneath it, the skin has a difficult time wrinkling.

A wrinkle in the skin is typically formed perpendicular to a contracting muscle located directly beneath it. For example, the muscle in the forehead is a vertical muscle.  When you raise your eyebrows it contracts and the lines (or wrinkles) that form will be horizontal.In a similar fashion, the two muscles that are responsible for the frown lines are positioned horizontally between the eyebrows, so when they contract, the frown lines appear vertical.

When a wrinkle relaxer, like Botox, Dysport or Xeomin, is injected into a muscle, it blocks nerve impulses to those tissues. The muscle activity that causes the frown lines is then reduced, and a smoother look results. The skin has a difficult time wrinkling without a contracting muscle beneath it.

“Neuromodulators work by weakening the muscles of facial expression,” says Dr. Russell Kridel, Houston TX. “Once the resting tone of these muscles is weakened, the pull of the muscles relaxes and the skin flattens out.”

Botox, or any other neuromodulator, requires two to four days for it to attach to the nerve ending that would normally stimulate the muscle to contract. The maximum effect usually occurs at about 10-14 days and can last for a few months.

One last word on Wrinkle Relaxers —- Please do NOT get injections at a “Botox Party” at somebody’s house.  A medical setting is safer, and any side effects can be treated immediately. Remember, this is a medical treatment and should be used with the utmost care and skill in the hands of a highly qualified physician. The best practitioners know the correct sites of injection to avoid side effects such as droopy eyelids — which further underscores the importance of finding a facial plastic surgeon who has significant experience giving Botox injections, like Dr. Kridel.

To learn more about the difference between a Wrinkle Relaxer (like Botox) and a Wrinkle Filler (like Restylane), check out these videos 

For a great deal more information about injectables and fillers, including multiple videos, visit our site.

— Kirin, Facial Plastic Surgery Associates, Houston TX