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.


How to Undo Sun Damaged Skin

January 7th, 2014 Kirin

Undo Sun Damaged Skin with Laser Resurfacing Technology

Fortunately, through medical technology and surgeon’s skill, at Facial Plastic Surgery Associates, Houston facial plastic surgeon, Russell Kridel MD can undo damage the sun inflicts on the skin.  While there are numerous treatments and procedures advertised in the marketplace, the best and most effect approach is Laser Resurfacing.

It is important to understand that there are 3 different levels of laser resurfacing.  The rule of thumb is the greater the intensity of the laser, the longer the downtime, but the greater the results.

The gold standard for laser resurfacing in Houston is the fully ablative CO2 laser.  Ablative means that the laser vaporizes the entire layer of skin.  This stimulates collagen regrowth.   This is a one-time procedure that takes approximately two hours. The results are fantastic and the effects last more than ten years, assuming of course that you don’t go back out and lay in the sun without sunscreen and a hat.  However, there is also more downtime, about two weeks before you can use make-up and will want to go and about.  Remaining redness continues to dissipate over several weeks. For patients with moderate to significant skin damage, this is the most effective approach.   Since this is the most powerful laser, it also takes a great deal of skill and experience to obtain the best results.

Another approach is the Fractionated CO2.  Fractionated means the laser signal breaks through the skin in tiny spots rather than vaporizing the entire layer.  The downtime is about ten to twelve days.

The third approach is known as Fraxel.  This is the mildest form of laser.  It covers less surface area and as a result there is virtually no downtime.  Because it only covers a certain percentage of the skin per session, a patient needs to complete a series of 3 to 4 treatments about 4 to 6 weeks apart to be able to reach the surface of the entire face.  This is more effective for patients with mild to moderate skin damage

At Facial Plastic Surgery Associates, we have our own leading edge laser equipment.  Dr. Russell Kridel and Dr. Angela Sturm are noted experts on laser technology.   You will feel confident in knowing that we have performed thousands of laser resurfacing procedures to help patients successfully undo sun damaged skin.

See Dr. Kridel speak about laser resurfacing techniques on You Tube.

To make an appointment with Dr. Kridel or Dr. Sturm contact Facial Plastic Surgery Associates at 713/526-5665.

—- Kirin,  Facial Plastic Surgery Associates



Dr. Russell Kridel Plastic Surgery Expertise Shared Beyond Las Vegas

July 10th, 2012 admin

The expertise Dr. Russell Kridel, Houston, TX shared as a Facial Plastic Surgery Faculty Member in Las Vegas at the recent 8th Annual Vegas Cosmetic Surgery, 2012, International Multispecialty Symposium, did not stay in Las Vegas.

Attendance was the largest in history, as surgeons from all around the world converged in Las Vegas to learn from the top surgeons in their fields of Facial Plastic Surgery, General Plastic Surgery, Dermatology and Oculoplastic surgery, for an immersive educational experience.

As an internationally recognized expert in facial plastic surgery procedures, Dr. Kridel presented 8 lectures on topics including Septoplasty, Rhinoplasty, Facelift, Laser Resurfacing and Septal Perforation. Following his lectures throughout the conference, surgeons showered Dr. Kridel with compliments on his techniques that have helped them provide better care to their own patients all around the globe.

He presented a Masters Seminar on “My Favorite Techniques of the Lower Third of the Nose.” Dr. Kridel also delivered several presentations to the entire general session including, “Lessons learned from Thousands of Septoplasties”, “A Simplified Approach to Alar Base Reduction”, “Update on Septal Perforation”, “SMAS Facelift vs. Deep Plane Lift:  Which Has Less Chance of Complications and Why”, and “Pearls and Pitfalls in CO2 Laser Resurfacing: Traditional Ablative and Fractional: A Greater than 15-Year Experience”.

In addition, Dr. Kridel moderated and/or participated in several expert panels including: “Our Preferred Method(s) of Lengthening and Shortening the Nose in Rhinoplasty”, and “Tip Projection and De-Projection Techniques”.



Question for Dr. Kridel: Will Fraxel Laser give relief from deep eye wrinkles?

November 16th, 2011 Dr. Russell Kridel

Wrinkles around the eye area are one of the most common patient concerns in facial rejuvenation.  The depth and extent of the wrinkles can vary and as a result the treatment options can vary as well.

When a physician uses any kind of laser, it (the laser) doesn’t automatically know what to do. Therefore, the doctor doing the procedure has to decide on what laser settings and how many passes over the treatment area to use.  Extensive training, experience and skill are all important when you consider any type of laser treatment. However, there are also other variables in addition to the technical skill involved.

There are also variables in the type and strength of lasers. Exquisite care must be used to avoid injury to the eye itself. The Fraxel Dual (also known as Fraxel Re:Store Dual laser) is on the low side for obtaining wrinkle reduction in the eye area, as well as the face. A fractionated CO2 (carbon dioxide) laser is one step up (made by many companies) and then there is the fully ablative CO2 laser. All of these lasers have been shown to be effective.  However, the rule of thumb is that the stronger the laser, the better the results in most cases, but the longer the recovery. The regular Fraxel requires a series of sessions, whereas Fractional and Full CO2 can be done in one session. Chemical peels are another treatment that can also be done and vary in strength and results depending on the chemicals used, their concentration and the skill of the physician.

—  Dr. Kridel, Houston, TX