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 study about 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