Revision Rhinoplasty is more difficult surgery

September 27th, 2013 Kirin

A revision rhinoplasty is more difficult than primary rhinoplasty surgery for many reasons.  The most important reason is that the anatomy inside the nose has already been altered during the first nose surgery (primary rhinoplasty).

Prior to any nose surgery, there are layers of tissue planes that have natural separations between the types of nasal tissues.  As a surgeon operates on your nose for the first time, the surgeon can easily separate these layers to access different structures.  This is not the case, however, with revision surgery.  These anatomical plane no longer exist.  That makes revision surgery harder.  It’s almost as if someone has put glue in the nose because skin is stuck to cartilage and bone.

Overdone Nose Job:

Some patients that desire a revision rhinoplasty feel like their nose looks “operated on”.  This may be the result of the nose healing in an irregular manner or too much cartilage was removed during the first surgery.

Other Difficult Revision Rhinoplasty Situations:

Other difficult rhinoplasty situations are noses previously operated on that are now too small, too short or too pinched.  In such cases, drafts have to be added. And, these grafts must be molded to take on the shape and the function of the previously removed tissue.

Select an experienced facial plastic surgeon:

You do not want to leave this type of complicated surgery in the hands of just any surgeon. Needless to say, it is extremely important that you select an experienced, facial plastic surgeon for your redo because nasal revisions are especially difficult. Dr. Kridel has performed thousands of successful revision rhinoplasty surgeries.  He has also written over 60 medical journal articles and text book chapters just on nasal surgery.  Including a published journal article on the use of irradiated cartilage for rhinoplasty surgery that was hailed by his peers as a landmark study.

Before and After Photos of Revision Rhinoplasty patient:

Before & After Revision Rhinoplasty by Dr. Russell Kridel

To the left is an example of a pre-operative and post-operative photo of a Facial Plastic Surgery Associates revision rhinoplasty patient. The surgery was performed by Russell Kridel, MD. In addition to the other photos on the site, you will also see numerous additional photos in the office at the time of your consultation.

Check out numerous Rhinoplasty videos by Dr. Kridel on youtube.

— Kirin, Facial Plastic Surgery Associates, Houston



Dr. Kridel shares news: Botox Gets FDA Approval for Crow’s Feet

September 13th, 2013 Kirin

Botox, also known as a wrinkle relaxer, has been officially approved by the Food and Drug Administration (FDA) for treating crow’s feet (wrinkles around the eyes).  Like other areas of the face, the effects of the Botox injection for crow’s feet will last approximately 3 to 6 months, although results vary by individual.

As a reminder, Botox is a prescription medicine that is injected into muscles.  It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form.  At Facial Plastic Surgery Associates, only our physicians — Dr. Russell Kridel or Dr. Angela Sturm — inject our patients (not a nurse or aesthetician).  This is important because they are facial plastic surgeons with significant training in the anatomy of the head and neck area. Dr. Kridel was one of the first facial plastic surgeons in Houston to treat aesthetic patients with Botox and is considered an expert on injectables of all types.

The news of FDA approval for crow’s feet, will undoubtedly add even greater popularity to Botox treatment, which is already considered the most popular minimally invasive physician administered aesthetic procedure for both women and men.  There has been an increase each year in men coming in for Botox injections to address the moderate to severe glabellar lines between their eyebrows and will now add crow’s feet to their requests.

If you are not familiar with the range of injectable wrinkle relaxers (like Botox & Dysport) or wrinkle fillers (like Restylane & Juvederm) you can check out multiple videos by Dr. Russell Kridel on You Tube or on our todaysface site that explain many aspects of having Botox injections.

To read coverage of the FDA announcement on

Also, Facial Plastic Surgery Associate, Dr. Angela Sturm has a special offer for injectables on Fresh Face Fridays.  Click here for more details.

— Kirin, Facial Plastic Surgery Associates, Houston