March 18th, 2010
Rodeo Rhinoplasty Houston Texas 2010
“Lemme get a gander at that there schnozzle under your Stetson, partner” might be overheard this week in Houston during Rodeo Rhinoplasty, four days of physician training on every aspect of the nose job.
Houston’s racial and ethnic diversity — providing an international range of noses — makes the city an ideal location for a seminar exploring surgical techniques and modern beauty standards, said Dr. Russell Kridel, a Houston plastic surgeon who founded the annual conference last year.
“What we think is beautiful is changing,” he said. “We have to know that so we can achieve what that beauty is. You can’t think that everyone wants to have a long, thin nose.”
Read the story here: http://www.chron.com/disp/story.mpl/metropolitan/6909552.html
By CINDY GEORGE
HOUSTON CHRONICLE
March 11, 2010, 10:13PM
Rodeo Rhinoplasty Houston Texas 2010
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December 18th, 2009
Dr. Kridel and coauthors congratulated for a landmark study
From this month’s 10th anniversary issue of the AMA Archives of Facial Plastic Surgery, editor Wayne Larrabee Jr, MD:
“Long-term Use and Follow-up of Irradiated Cartilage Grafts in the Nose epitomizes the meticulous clinical observation that we all should strive to achieve in our practices… Russell W. H. Kridel, MD and colleagues performed a meticulous study of 357 patients with a 24-year follow up. This study by Kridel, Ashoori, Liu, and Hart is important not only for the standard it sets in careful clinical evaluation, but also for the importance of the subject. Their results will cause many to reevaluate the role of irradiated cartilage in their practices.”
Rib cartilage from human donors is well tolerated as a grafting material in nasal plastic surgery and yields positive functional, structural and cosmetic results, even in complex cases.
Nov- Dec 2009
“The search for the ideal nasal implant remains an ongoing effort,” the authors write as background information in the article. “We desire a substance that is readily available in large quantities; resists infection and absorption; is completely integrated into host tissues; causes little patient morbidity [illness or injury]; and can be molded, shaped or carved with ease.” The patient’s own cartilage is often the preferred choice, but is sometimes too thin, there is an insufficient quantity or it may cause problems at the site from which it is removed. Irradiated homologous costal cartilage—donor tissue from human ribs that has been treated with radiation to decrease the chances of an immune response or resorption once placed in a donor—could serve as an alternative.
Russell W. H. Kridel, M.D., of the University of Texas Medical School at Houston and Facial Plastic Surgery Associates, Houston, and colleagues reviewed the surgery he performed on 357 patients who underwent primary or revision rhinoplasty (nasal plastic surgery) using autologous costal cartilage as the principal graft material between 1984 and 2008. The patients were an average of 37 years old and were followed up for an average of 13.5 years (and for a range of four days to 24 years).
(Arch Facial Plast Surg. 2009;11[6]:378-394. Available pre-embargo to the media at www.jamamedia.org.)
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For more information, contact JAMA/Archives Media Relations at 312/464-JAMA (5262) or e-mail mediarelations@jama-archives.org.
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October 28th, 2009
Revising Rhinoplasties (Re-doing your nose job)–Part One
-Introduction-
What patients often don’t understand is that all noses are different and so are the surgeons that operate on them. And, of all the surgeries in the discipline of facial plastic surgery, a rhinoplasty (the cosmetic reshaping of the nose) is the most challenging operation of all. On a national average, about 20 % of first time rhinoplasties undergo some degree of revision.
Noses are especially difficult because they not only have to look good but they also must breathe well. Making a nose too petite or defined may compromise how well one can breathe by decreasing the strength of the structures that keep the nasal airway open. Nose surgery is improving technically because facial plastic surgeons have learned that doing less is often preferable; over time noses change and a nose that looked good right after surgery may twist or heal irregularly with time, especially if structures have been aggressively trimmed.
The majority of surgeons will not leave the operating room until everything looks good. But no surgeon can control the healing process. When the nose is narrowed by bringing in the bones, one of the bones can settle more than another and the nose can look crooked. Or in the process of the bones healing, a bump can appear in the re-modeling process. Or the healing process can cause the tissue to contract unevenly and cause one side to look different than another. Or, if the nose was crooked to begin with, and even if the nose was straightened by the surgery, the cartilage can twist back because of intrinsic memory.
So, knowing that some noses will need revision surgery no matter how good the surgeon is, how do you improve your odds of getting a good result? Number one, we know experience counts. If you have to have heart surgery, you would want your surgeon to have done several hundred to thousand before he touches you. That desire should be even stronger for nose surgery (or revision nose surgery), since all noses are different. Choose your facial plastic surgeon well. Pick someone who also has ENT (Otolaryngology) experience as well so your breathing can be preserved or improved. And select a surgeon who performs revision rhinoplasties routinely, at least 40 or more per year. –End of part 1–
Please check back soon for part two! In the meantime, feel free to visit our website www.TodaysFace.com, or contact our office to schedule a consultation.
-Russell W. H. Kridel, MD, FACS
Houston, Texas
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