Nose Surgery Anatomy: The Inside View with Dr. Russell Kridel

October 31st, 2013 Kirin

Before you have nose surgery, it is helpful to learn more about what is happening under the surface of the nose.  Whether you have functional nasal surgery, known as Septoplasty, or cosmetic surgery known as Rhinoplasty, the interior anatomy of your nose is more intricate than you may realize.

As a general rule, the bone and cartilage under the skin give the nose most of its size and shape. Other structures inside and behind the nose help you breathe.

Nose Surgery Anatomy: Under the Skin

Nasal Anatomy Under the Skin

Nasal Surgery Anatomy: Under the Skin


When you look at your nose in the mirror, you can divide it into three sections.  The upper third or bridge of the nose is supported by bone.  The middle section of the nose is comprised of cartilage, which supports the sides of the nose.  And the lower section of the nose is supported by cartilage, which also provides the width, height, shape of the nostrils and tip of the nose.


Nose Surgery Anatomy: Inside and Behind

Nose Surgery Anatomy

Nasal Surgery Anatomy: Inside and Behind

There are many structures inside the nose that help you breathe.  The nasal cavity is a hollow space behind the nose that air flows through.  The septum is a thin strip of cartilage and bone.  It divides the inside of the nose into two chambers.  If you have a deviated septum the cartilage has shifted and the flow of air in one nostril or both can be blocked or minimized.  The mucous membrane is thin tissue that lines the nose, sinuses and throat.  It warms and moistens the air you breathe.  It also makes the sticky mucus that helps clean air of dust and other small particles.  The sinuses are hollow, air-filled chambers in the bones around your nose.  Mucus from the sinuses drains into the nasal cavity.   The turbinates on each side of the nose are curved, bony ridges lined with mucous membrane.  They warm and moisten the air you breathe.  If your turbinates are enlarged your breathing will be affected.


Even though we have similar anatomical structures inside the nose, just like snowflakes, no two noses are exactly alike.   The size and shape of the bone and cartilage and the overlying skin vary from person to person.   So, it is important that you select a surgeon who specializes in nose surgery and has the skill and experience to address the unique challenges of every nose. You want to make sure that not only will your nose look good, you will be able to breathe well also following your nasal surgery.   Dr. Russell Kridel specializes in plastic surgery of the face and neck and has performed thousands of nasal surgeries.  With over 60 published scientific journal articles and textbook chapters on Rhinoplasty, he is often referred to by his peers as “The Nose Doc.”


For more information about Rhinoplasty surgery or to view additional  before and after Rhinoplasty photos.

Check out Rhinoplasty videos by Dr. Kridel on youtube.

— Kirin, Facial Plastic Surgery Associates, Houston

Dr. Russell Kridel Speaks on Revision Rhinoplasty at AAFPRS Fall Meeting in New Orleans

October 19th, 2013 Kirin

Dr. Russell Kridel speaks on Revision Rhinoplasty at AAFPRS Fall Meeting

Revision Rhinoplasty expert, Russell Kridel, MD was an invited speaker at the American Academy of Facial Plastic & Reconstructive Surgery (AAFPRS) 2013 Fall Meeting called “Facial Plastic Surgery 2.0” held October 19-21 in New Orleans.  As an internationally recognized expert on Rhinoplasty and Revision Rhinoplasty surgical techniques, Dr. Kridel was asked to share his expertise with other physicians attending the meeting.

Revision Rhinoplasty Surgery for the Severely Deformed Nose
 — Instruction Course presented by Dr. Russell Kridel

Minor Revision Rhinoplasty provides little difficulty, but major revisions are incredible challenges to even the most skillful Rhinoplasty surgeon, often requiring significant corrections of scarring, previous over-resection, asymmetries and irregularities often worsened by vagaries of healing. The surgeon often must first recreate with grafts the normal anatomy before even attempting an aesthetic improvement. At times the aesthetic result from the first surgery also is complicated by new airway problems that must be addressed.

At the conclusion of the course, physician participants were able to recognize what causes major problems in Rhinoplasty so they can avoid them.  And, they became familiar with grafting options and harvesting skills in Revision Rhinoplasty techniques proven effective by Dr. Kridel.

A Staging System for Revision Rhinoplasty — Poster Presentation presented by Russell Kridel, MD and Regina Rodman, MD

Rhinoplasty is known to be one of the more technically challenging cosmetic procedures, and the rate of Revision Rhinoplasty reported in the literature ranges between 5- 15%., Revision Rhinoplasty may range from minor deformities that can be treated in the office to major cosmetic and functional defects that require multiple surgeries to correct. Review of the literature lacks a uniform scale which systematically evaluates the patient presenting for revision rhinoplasty.

Dr. Kridel and Dr. Rodman described 3 major components that determine the overall difficulty of the Revision Rhinoplasty surgery. They outlined a staging system which objectively stratify complexity of Revision Rhinoplasty for the benefit of the surgeon and to appropriately counsel patients.

The Rhinoplasty prognosis is not measured in terms of survival, but what is possible versus an impossible surgical result. The pre-operative staging system laid out by Dr. Kridel and Dr. Rodman can help patients understand the complexity of the repair required and help manage expectations. Further, this system will facilitate exchange between Revision Rhinoplasty surgeons. A standardized evaluation system will allow for meaningful comparisons surgical techniques and evaluation of outcomes.

The Nose Doctor

Dr. Kridel has published over 100 scientific journal articles and text book chapters on facial plastic surgery techniques, including Rhinoplasty and Revision Rhinoplasty.  Known as one of the leading Rhinoplasty surgeons, he is often referred to as “The Nose Doctor” by peers and patients. Dedication to sharing ideas on the latest techniques with other skilled surgeons from around the world keeps Dr. Kridel at the leading edge of his profession.

Schedule a consultation with Dr. Kridel by calling  (713)526-5665.

View a video by Dr. Kridel about Rhinoplasty

Read more about Houston facial plastic surgeon, Dr. Kridel.

— Kirin, Facial Plastic Surgery Associates




Rhinoplasty Questions for Top Nose Doc: Dr. Russell Kridel

October 16th, 2013 Kirin

Rhinoplasty Questions for Dr. Russell Kridel

The following are 3 common questions patients ask Dr. Kridel and the Facial Plastic Surgery Associates staff about cosmetic nose surgery known as Rhinoplasty. Some people also refer to Rhinoplasty as a nose job.

Question:  How old do you have to be to have nose surgery?

Anyone whose face is mature can have a Rhinoplasty. For young patients, their nasal structure  must reach full growth, usually starting at about age 16.   Sometimes we make exceptions when breathing is severely compromised or there is an injury.

Question: How much discomfort should I expect after Rhinoplasty surgery?

Patients of Dr. Russell Kridel rarely complain of much discomfort at all.  Immediately following surgery, you can expect your nose to have a “stuffed-up” feeling, like a stopped-up nose.  But, other than that, it’s the kind of surgery that usually surprises people by its simplicity.  Dr. Kridel does not use painful internal splints or large amounts of pack.  Any discomfort is minimized by pain medication that can be prescribed by the doctor.

Question:  How long is the recovery process?

You will have an external splint on your nose following Rhinoplasty surgery for a few days.  So, it is normally about a week before patients want to return to work or begin socializing again.  By that time, the swelling has gone down and bruising, if there is any, can be covered by makeup.  While you can go back to your normal day to day activities and even work out,  Dr. Kridel does ask you to avoid contact sports for about six weeks after the surgery.

Question:  Why is Dr. Kridel often called “The Nose Doctor”?

While Dr. Kridel’s practice, Facial Plastic Surgery Associates, is located in the prestigious Houston Texas Medical Center, Dr. Kridel is recognized nationally and internationally by his peers and patients as one of the leading surgeons for Rhinoplasty.  He has written over 50 medical journal articles and textbook chapters on Rhinoplasty and Revision Rhinoplasty.  He has pioneered multiple surgical techniques that are now taught in medical schools.  He has also received the highest honors from the American Academy for Facial Plastic & Reconstructive Surgery, the Mark Rafaty Award and the William K. Wright Award, for surgical excellence. Dr. Kridel is also invited to teach other physicians at medical conferences all around the world.

For more information about Rhinoplasty surgery or to view additional  before and after Rhinoplasty photos.

Check out Rhinoplasty videos by Dr. Kridel on youtube.

— Kirin, Facial Plastic Surgery Associates, Houston