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 CBSnews.com

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

Facial Plastic Surgery Associates Now Offers Belotero, the New Dermal Filler

June 23rd, 2013 Kirin

Facial plastic surgeons, Dr. Russell Kridel and Dr. Angela Sturm now offer the new dermal filler, Belotero.  Belotero is made of hyaluronic acid (or HA). It has been approved by the FDA to safely and effectively treat moderate to severe wrinkles and folds.

While BELOTERO BALANCE® Dermal Filler is made of the same material (hyaluronic acid) as some other dermal fillers (also known as wrinkle fillers), like Juvederm and Restylane, Belotero has a unique manufacturing process that offers a soft, cohesive gel that is able to fill in your wrinkles.  By binding to water, it can fill in wrinkles and folds for immediate correction that can last for six months or so.

The versatility of the product makes it strong enough to handle deep treatment areas such as nasolabial folds (smile lines around the mouth), yet soft enough to treat more delicate areas such as vertical lip lines (thin lines that appear above the lip line).

Based on the positive results and patient experience with Belotero thus far, Dr. Kridel and Dr. Sturm have found that while it can be used in deep nasolabial folds, they have found Belotero to be particularly beneficial for small areas that need softening, such as the corners of the mouth and vertical lines above the lip.  So patients often elect to use other fillers like Juvederm or Restylane for deeper folds, like nasolabial folds (crease between your nose and mouth), and complement it with Belotero for these other fine line areas.

You can also check out the Belotero website http://www.belotero.com.

For more information about Dr. Kridel.

For more information about Dr. Sturm.

To make an appointment with Dr. Russell Kridel or Dr. Angela Sturm call 713/526-5665.

— Kirin, Facial Plastic Surgery Associates

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 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

It’s Not Too Late to Give the Gift of Beauty by FPSA and Dr. Kridel

December 21st, 2012 Kirin





This holiday give the Gift of Beauty by FPSA!

Are you looking for the unique holiday gift that keeps on giving? Why not pamper someone special in your life with an FPSA “Gift of Beauty “certificate.


  • Is your husband looking for the perfect stocking stuffer for you?
  • Does a friend keep hinting about wanting Botox or fillers?
  • Has a family member expressed an interest in facial plastic surgery, or been inspired by how youthful you look after a recent procedure?
  • Or would you like to treat yourself to a more youthful look?

An FPSA (Facial Plastic Surgery Associates) “Gift of Beauty” gift certificate can be used for any of our skin care products or cosmetic surgery services— from consultation with Dr. Russell Kridel or Dr. Angela Sturm-O’Brien, to nonsurgical rejuvenation treatments (think Botox, Restylane, Ulthera, Thermage, and Fraxel) or to our signature facial plastic surgery procedures. Gift Certificates for Plastic Surgery Products and Services are available for any amount.

Your loved ones will be thrilled to receive the “Gift of Beauty” with the best facial plastic surgeon in Houston.  Give us a call at 713/526-5665 today!

*** Of course, we will examine the recipient of your gift to decide if they are a candidate for a given procedure, and make recommendations based on their goals, exam, and overall medical status.

— Kirin, Facial Plastic Surgery Associates, Houston TX

Understanding the difference between Surgical Facelifts and Drive-Thru Style Lifts

December 5th, 2012 Kirin



During the holiday season, we often see an increase in advertising and marketing of a lifting technique for faces referred to by names such as: the mini-lift, weekend lift, and lunchtime lift.

Most of these lifts rely on very minimal, if any, dissection. We refer to them as “Drive-Thru Lifts” because their indications are for patients with limited signs of aging and the longevity of the results from such techniques are short lived — only about 2-3 years.

At Facial Plastic Surgery Associates, Dr. Russell Kridel does not perform this type of treatment.  For those patients with more limited or early signs of aging, Dr.Kridel will recommend other non-surgical options (ex: Fraxel, Ulthera, Thermage, Botox, Restylane — among others) based on a patient’s individual needs (determined at the time of consultation) that he knows will provide terrific facial rejuvenation benefits and be more cost-effective.  He feels this is very important, rather than seeing the patient spend thousands of dollars now on a “Drive-Thru Lift”, only to have to repeat the procedure in another two to three years. For patients with more significant signs of aging such as jowling and sagging, a true surgical facelift will be more appropriate. When Dr. Kridel performs a facelift, it is a surgical procedure that involves meticulous dissection, lifting and re-draping, and impeccable attention to detail to hide incisions so that they will not be detected.  The results provide a more youthful, rested and natural appearance that helps re-set the aging clock back by more than ten years.  Just ask one of our patients.

To learn more about other non-surgical options click here

To view a wide array of videos about facelift surgery with Dr. Kridel click here 

For general questions and answers about facelift surgery click here 

— Kirin, Facial Plastic Surgery Associates, Houston TX