New Revision Rhinoplasty Staging System Published

June 11th, 2016 admin

141223-fps-265x265Throughout his career, Russell Kridel, MD, has made numerous significant contributions to his specialty of facial plastic surgery.  For example, he has pioneered several Rhinoplasty and Revision Rhinoplasty surgical techniques that are considered the gold standard among peers and taught in medical schools throughout the U.S. and the world.

His passion for advancing medical techniques and sharing that knowledge with other physicians, along with the ultimate goal of advancing the quality of patient care and surgical success, is once again revealed in his recent journal article, “A Staging System for Revision Rhinoplasty.”

Dr. Russell Kridel and Dr. Regina Rodman, recently introduced a new staging system, the PGS System, to determine the overall difficulty of surgery for revision rhinoplasty. Their findings have been released and published in the prestigious JAMA Facial Plastic Surgery Journal; “A Staging System for Revision Rhinoplasty.”

The 3 major components of the PGS system can be described as; the “P” represents “problem,” consisting of the specific anatomic anomaly with which the patient presents. The second component in our system is “G” for “graft,” based on the number of grafts required. The third component of this system is “S,” for “number of previous surgical procedures.” In addition, Kridel and Rodman have included a category “E,” for “patient expectations,” which is added after the stage of the patient’s condition has been determined through the PGS classification.

As Dr. Kridel states in the journal article, a standardized evaluation system such as PGS System, will allow meaningful comparisons of surgical techniques and evaluations of outcomes of rhinoplasty procedures among physicians.  In addition, the PGS preoperative staging system also help patients understand the degree of difficulty of their required repair and help manage expectations.

The journal article also contains a very informative audio interview (JAMA Facial Plastic Surgery podcast) with Russell Kridel, you won’t want to miss about this exciting classification system.

There has also been additional media attention given to Dr. Kridel’s PGS system, noted here.

Dr. Kridel has published more than 65 scientific journal articles and text book chapters on Rhinoplasty and Revision Rhinoplasty.  Physicians seek out Dr Kridel for their own surgery, as well as refer friends and family because of his skill and expertise.  It is no surprise that he is known throughout Houston and the country as “The Nose Doctor.”

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.

To make an appointment with Houston Rhinoplasty specialist, Dr. Kridel for a consultation, please call 713/526-5665.

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 septalperforations.com, 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 todaysface.com.

Rhinoplasty Expert Dr. Russell Kridel Shares Knowledge

November 27th, 2014 Kirin

Dr. Kridel Invited as Faculty Member to myRhinoplasty Course

Rhinoplasty Expert, Dr. Russell Kridel

Russell Kridel, MD was a featured faculty member at the recent myRhinoplasty course at the Royal College of Surgeons in London, England.  As an internationally recognized leader on nasal and facial rejuvenation surgical techniques, Dr. Kridel was invited to share his expertise with other surgeons attending the meeting.

The well respected myRhinoplasty meeting was designed to enhance participant’s understanding of nasal deformity and the options and rationale for contemporary correction. The international, multi-specialty faculty represented the highest standards of intellectual inquiry leading to contemporary nasal analysis and planning, and the art of surgical mastery.

Rhinoplasty expert Dr. Kridel was one of just four surgeons from the U.S. invited to speak about several of his advanced  Rhinoplasty surgical techniques to an audience of multi-specialty surgeons attending the course from around the world. He presented three courses on Rhinoplasty —“Dorsal Reduction and Restoration: Focus on the Middle Third”, “Using Costal Cartilage”, “Correcting Disorders of Tip Projection and Rotation” and, was on two scientific panels.  Dr. Kridel also presented a course on one of the most complex nasal surgeries that few surgeons perform, “Repair of Nasal Septal Perforations.”

“Julian and Mehmet should be congratulated on an excellent course,” confirmed Dr. Kridel.

Royal College of Surgeons, London

The Royal College of Surgeons is a venerable institution in London with a classic Roman architecture outside and beautiful elegant wood paneled rooms on the inside with many artifacts and statues from generations of surgeons who have advanced surgical standards and quality care for patients.

As one of the most renowned Rhinoplasty and Septal Perforation experts, Dr. Russell Kridel is often invited to speak at medical conferences to share his surgical expertise with other surgeons looking to improve their skills.  Dr. Kridel is often referred to by his peers as “THE Nose Doctor,” because of his expertise, surgical awards and all of the significant contributions he has made to facial plastic surgery and quality patient care.

There is no other facial plastic surgeon in Houston that has the depth of expertise, experience and reputation in regard to nose surgery, including Rhinoplasty, Revision Rhinoplasty and Septal Perforation.

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 for a consultation with Houston Rhinoplasty expert, Dr. Russell Kridel, contact us at 713/526-5665.

You can also learn more about Rhinoplasty surgery at todaysface.com.

And, to learn more about septal perforation go to septalperforations.com.

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on Dr. Kridel’s YouTube channel.

 

 

Teenage Rhinoplasty Can Make An Impact

November 3rd, 2014 Kirin

Teenage Rhinoplasty Is More Common Than You May Think

If you have ever been unhappy with the size or shape of your nose, you are not alone.  In 2012, over 180,000 people had Rhinoplasty surgery, with about 15% being performed on teenagers between the ages of 13 – 19*. Among teens, Rhinoplasty is the most common cosmetic procedure.

With the nose being the most prominent feature, if it is out of proportion, it may dominate your face.  But, the great news is that if your nose doesn’t do justice to the rest of your face, you don’t have to live with it for the rest of your life.  That’s why our young Rhinoplasty patients say, “Let’s change it now before I am labeled as the person with the large nose.” Or, “I want to change it now so others perceive me as I perceive myself and no longer judge me based on my nose.”

Today, having an unsightly feature improved upon is as much a possibility for teenagers as having crooked teeth corrected with braces.  Our patients are amazed by the difference it makes in their self-esteem.  And, for young people, that extra bit of confidence can make all the difference as they begin to establish themselves professionally and socially.  No one wants to be teased and everyone want to feel and look their best.

Dr. Kridel has performed thousands of rhinoplasty surgeries, often referred to as a “nose job”, and often finds that he needs to correct airway problems inside while he is correct the outside shape, so the nose not only looks good but also breathes well.  Sometimes, he will further improve the profile with a chin implant, because a weak chin can make a nose look even larger.

When Your Nose Doesn’t Fit Your Face

A less than desirable inherited feature is the primary reason patients, including teenagers, seek cosmetic improvement of their nose.  However, sports injuries or nasal trauma, is also very common.  In these circumstances, there is often internal damage, such as a deviated septum, that can hinder your ability to breathe.  A severely deviated septum can also alter the external appearance of the nose.  It is far more effective and efficient to address any desired cosmetic changes at the same time as correcting internal damage.  Celebrities like Jennifer Aniston and Diana Agron have improved the appearance of their nose in addition to repairing internal structural damage.

Everyone wants to know what their nose is going to look like after surgery.  To help with that visualization, Dr. Kridel does digital computer imaging so patients can sit down and visually plan the goal for their surgery.  Dr. Kridel understands that no two noses are the same, so he tailors the cosmetic change based on each patient’s individual anatomy and goals. He does not and will not take a one size fits all approach.

Dr. Kridel is a world renowned facial plastic surgeon and has published over 70 medical journal articles and textbook chapters about Rhinoplasty and Revision Rhinoplasty. He performs more than 150 Rhinopolasty surgeries every year.  Within the medical and patient community, he is often referred to as “THE Nose Doc,” because of his recognized expertise in nasal surgery. Patients and physicians refer themselves and their own family members and friends because of his international reputation as one of the best Rhinoplasty surgeons in the world.  Dr. Kridel is also invited as a featured guest lecturer to the largest and most prestigious plastic surgery courses every year to share his specific techniques with other surgeons who want to improve their skills.  He has  been named to numerous Top Doc lists year after year and has received the highest honors from his own specialty for surgical excellence.

To make an appointment with Dr. Kridel for an Rhinoplasty consultation, please call 713/526-5665.

— Kirin, Facial Plastic Surgery Associates

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.

*2012 ASPS Plastic Surgery Statistics Report

Rhinoplasty Expert, Dr. Russell Kridel, Speaks at International Conference

October 9th, 2014 Kirin

Rhinoplasty Expert, Septal Perforation Expert and Facial Rejuvenation Expert!

Dr. Kridel at the 2014 conference in Spain

Dr. Russell Kridel with other faculty members of the 2014 EAFPS Conference

Russell Kridel, MD was a featured faculty member at the recent 37th Annual Conference of the EAFPS (European Academy of Facial Plastic Surgery) in Palma de Mallorca, Spain.  Over two hundred facial plastic surgeons attended the conference from all around the world.  As an internationally recognized expert on nasal and facial rejuvenation surgical techniques, Dr. Kridel was invited to share his expertise with other surgeons attending the meeting.

Dr. Kridel presented an unprecedented 14 educational talks on facial plastic surgery at the course.  Of the 14 course talks, 9 were specifically on Rhinoplasty, 2 on Septal Perforation and 3 on Facial Rejuvenation.  Here is a list of the majority of the talks Dr. Kridel presented at the EAFPS conference.

RHINOPLASTY:

  • Management of the Aging Nose
  • Alar Notching Repair
  • Not All Easy Rhinoplasties Are So Easy
  • Nasal Tip Management
  • Structure, Creativity, and Common Sense in Rhinoplasty

REVISION RHINOPLASTY:

  • Revision Rhinoplasty

ETHNIC RHINOPLASTY:

  • Thick-Skinned Rhinoplasty
  • Ethnic Rhinoplasty Panel Discussion

SEPTAL PERFORATION: 

  • The Update in Septal Perforations
  • Septal Perforation Panel Discussion

FACIAL REJUVENATION:

  • SMAS Facelift
  • Skin: Laser, CO2 Laser Resurfacing

As one of the top Rhinoplasty and Septal Perforation experts, Dr. Russell Kridel is often invited to speak at medical conferences to share his surgical expertise with other surgeons looking to improve their skills.  Dr. Kridel is often referred to by his peers as “THE Nose Doctor,” because of his expertise, surgical awards and all of the significant contributions he has made to facial plastic surgery and quality patient care.

There is no other cosmetic surgeon in Houston that has the depth of expertise, experience and reputation in regard to nose surgery, including Rhinoplasty, Revision Rhinoplasty and Septal Perforation, as well as facelift surgery.  Needless to say, patients are in the best of hands with Dr. Kridel for all of their facial plastic surgery needs.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment for a consultation with Dr. Russell Kridel, contact us at 713/526-5665.

You can also learn more about Rhinoplasty surgery at todaysface.com.

And, to learn more about septal perforation go to septalperforations.com.

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on Dr. Kridel’s YouTube channel.

Revision Rhinoplasty Specialist Key to Success

May 29th, 2014 admin

Revision Rhinoplasty Can Be Successful in the Hands of a Revision Rhinoplasty Specialist

If your nose has been operated on in the past and you don’t like it, you shouldn’t give up.  A revision rhinoplasty can be successful in the hands of a skilled surgeon who specializes in nose surgery.

Rhinoplasty before

Rhinoplasty patient before surgery with Dr. Kridel

Chances are, your nose can be revised to your satisfaction. “Few surgeons like to do secondary rhinoplasties because these are so technically difficult,” explains revision rhinoplasty specialist Dr. Russell Kridel, who does numerous revision rhinoplasty surgeries every month referred to him by surgeons from all over the world.

Rhinoplasty Patient after

Rhinoplasty Patient After Surgery with Dr. Kridel

As an internationally recognized expert on rhinoplasty surgery, Dr. Kridel is known by many as “THE Nose Doc.” He has published over 60 medical journal articles and text book chapters on rhinoplasty and revision rhinoplasty and has pioneered multiple surgical techniques that are now used in medical schools around the country.

For many reasons, revision rehinoplasty is more difficult than primary rhinoplasty.  Prior to any surgery, there are layers of tissue planes that have natural separations between the different types of nasal tissues and as the surgeon operates, he can easily dissect or separate the layers to get to different structures.  After a first surgery though, these planes no longer exist m, making any subsequent surgery more difficult.

If your previous rhinoplasty was unsuccessful because not enough was done, for example, if a lump remains or is irregular, your revision rhinoplasty surgery will be less difficult because it is easier to take away than to add.  However, if your nose is too small, too short, turned up or pinched, your revision will be more difficult because natural structures and specially shaped tissues may have been removed and will need to be replaced with grafts from elsewhere.  These grafts must be molded to take on not only the shape but also the function of the previously removed tissue.

Another area to be resolved in many revisions is dysfunction of the airway.  If you had trouble breathing through your nose before your first surgery or if the nasal airway was changed during surgery, you may now be having trouble breathing through your nose, especially if your nose was made smaller or if you experienced post-op drooping of the tip.  You may need correction of a deviated or crooked septum and trimming of your turbinates.  Further, you may need a graft to re-support the tip.

Although revisions are very difficult, Dr. Kridel’s techniques as a highly trained and deeply experienced revision rhinoplasty specialist can reap better results.  But, it is important to remember that, like snowflakes, no two noses are alike, so it is very important for a patient to come in for a consultation and thorough nasal examination, whether it is a primary rhinoplasty or revision rhinoplasty.

To make an appointment for a Rhinoplasty or Revision Rhinoplasty consultation with Dr.Russell Kridel, contact Facial Plastic Surgery Associates at 713/526-5665.

You can also learn more about Rhinoplasty surgery with Dr. Kridel at todaysface.com.

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on our YouTube channel.

— Kirin, Facial Plastic Surgery Associates, Houston

To make an appointment for a Rhinoplasty or Revision Rhinoplasty consultation with Dr.Russell Kridel, contact Facial Plastic Surgery Associates at 713/526-5665.

You can also learn more about Rhinoplasty surgery with Dr. Kridel at todaysface.com.

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on Dr. Kridel’s YouTube channel.

 

Rhinoplasty Expert Dr Russell Kridel Speaks at International Conference

April 18th, 2014 Kirin

Rhinoplasty Expert Dr Russell Kridel Featured Faculty in Munich

Dr Kridel photo of Munich museum

Rhinoplasty Expert Dr Russell Kridel featured lecturer at International Summit in Munich

 

Rhinoplasty expert, Russell Kridel, MD was an invited faculty member at the recent European Rhinoplasty Summit in Munich, Germany. Over one hundred facial plastic surgeons attended the conference from all around the world.  As an internationally recognized expert on Rhinoplasty and Revision Rhinoplasty surgical techniques, Dr. Kridel was asked to share his expertise with other surgeons attending the meeting.  Dr. Kridel presented four courses at the conference.

Thick Skinned Rhinoplasty — Instruction Course presented by Dr. Russell Kridel

Nasal surgery in patients with thick skin requires understanding an anatomy that can differ greatly, making a cookbook formula difficult.   Dr. Kridel presented techniques that can be used to create balanced changes in these more complex cases.

Nasal Tip Deprojection — Keynote Lecture by Dr. Russell Kridel

Successful tip management is critical to achieving excellent results in cosmetic nasal surgery.  Nasal tip surgery is the most difficult aspect of rhinoplasty and it plays a critical role in the final appearance of the nose.  Dr. Kridel lectured on his internationally recognized surgical techniques to help surgeons learn how to properly address nasal tip deprojection.

Use of Rib Cartilage — Instruction Course presented by Dr. Russell Kridel

Dr. Kridel presented key findings from his landmark study on the use of Irradiated Rib Cartilage in Rhinoplasty and Revision Rhinoplasty surgery.  Irradiated rib cartilage is a well tolerated as a grafting material in rhinoplasty and can yield superb functional, structural and cosmetic results in the most complex and challenging operative cases.

Dr. Kridel and Dr. Foda in Munich

Dr. Kridel and Dr. Foda: European Rhinoplasty Summit Faculty Members

Revision Rhinoplasty — Panel Discussion

Minor Revision Rhinoplasty provides little difficulty, but major revisions are a significant challenge to even the most skillful Rhinoplasty surgeon, often requiring significant corrections of scarring, asymmetries and irregularities. Dr. Kridel and the panel members discussed their approaches to these complicated cases and provided some helpful answers to questions posed by attendees.

As an internationally recognized Rhinoplasty Expert Dr Russell Kridel is often invited to speak at medical conferences to share his surgical expertise with other surgeons looking to improve their skills.  Houston facial plastic surgeon Dr. Kridel is often referred to by his peers as The Nose Doctor,  because of all the significant contributions he has made to facial plastic surgery and quality patient care.

 

To make an appointment for a Rhinoplasty or Revision Rhinoplasty consultation with Dr.Russell Kridel, contact Facial Plastic Surgery Associates at 713/526-5665.

You can also learn more about Rhinoplasty surgery with Dr. Kridel at todaysface.com.

You can also see multiple Rhinoplasty videos and other videos on other facial plastic surgery procedures on our YouTube channel.

— Kirin, Facial Plastic Surgery Associates, Houston

How to choose a Revision Rhinoplasty surgeon

February 14th, 2014 Kirin

While nose surgery is considered the most difficult surgical procedure of the head and neck area, Revision Rhinoplasty is even more challenging than a Primary Rhinoplasty, which is also often referred to as a nose job.

Here are 5 tips about how to choose a Revision Rhinoplasty surgeon:

  1. Be Sure to Select A Facial Plastic Surgeon

A board-certified facial plastic surgeon (AAFPRS) performs only cosmetic and reconstructive surgery on the face, head and neck.  Training includes post-graduate training in general surgery residency and at least four additional years of specialty training just in head and surgery and facial plastic surgery.  Many  surgeons specialize further by undertaking an additional year fellowship in facial plastic surgery and become board certified by the American Board of Facial Plastic and Reconstructive Surgery (ABFPRS).  For example, Houston facial plastic surgeon Dr. Russell Kridel is double-board certified by the AAFPRS and the ABFPRS.

This is in contrast to a general plastic surgeon who performs surgery on the entire body, with no additional post-graduate study required specifically on the head and neck area for board certification.

In a nutshell, you want to trust your face — and in this case, your nose — to a specialist.

  1. Identify a Surgeon with Significant Experience in Revision Rhinoplasty

Nasal surgery, known as Primary Rhinoplasty, is one of the most difficult surgeries of the face and neck because of the vast differences in each person’s anatomy.  Revision Rhinoplasty is even more complex because the anatomy inside your nose has already been altered.  Since every nose is different and may have been drastically changed by a previous surgeon, the Revision Rhinoplasty surgeon can not really know the full extent of the alterations inside your nose until he/she begins the procedure.  So, it is critical that you identify a surgeon that truly specializes in nasal surgery and has performed hundreds (or more) of revision rhinoplasty procedures.  That way, there are no real surprises and you will feel comfortable knowing that the surgeon has the skill set to successfully perform the procedure on your specific nose.  Houston facial plastic surgeon Dr. Russell Kridel is a world renowned expert in Revision Rhinoplasty. He has performed thousands of Revision Rhinoplasty surgeries with extremely successful outcomes.  His patients are ecstatic with their results.

  1. Select a Facial Plastic Surgeon that has published scientific journal articles on Revision Rhinoplasty

You want a surgeon who is passionate about noses.   A surgeon that is so knowledgeable about Rhinoplasty that they write and publish scientific journal articles to share their techniques with other trained surgeons to advance science for the benefit of all patients.  There are rigorous standards for a medical journal to accept a scientific paper, so truly it requires the most devoted and skilled surgeons to meet these high standards.  Dr. Russell Kridel has published over 60 scientific articles and text book chapters on Rhinoplasty and Revision Rhinoplasty alone and has been an invited lecturer at medical conferences all around the world on the subject of Revision Rhinoplasty. He has won top honors by his peers and patients and is considered one of the best Rhinoplasty surgeons in the country.

How to choose a revision rhinoplasty surgeon

Revision Rhinoplasty patient of Dr. Russell Kridel

  1. Look at Before and After Photos

When you visit the facial plastic surgeon(s) you have selected, be sure to review their Before & After Revision Rhinoplasty photospu.  You may also look at the primary Rhinoplasty photos, but you want to be sure to look at the photos of the Revision Rhinoplasty patients performed by that specific surgeon. Your consultation should be extremely thorough. In addition to a medical exam, the surgeon should review your own computer imaged photos so that you can see what your nose will look like post-surgery.  At Facial Plastic Surgery Associates, you can expect to spend about 2 hours at our office meeting with Dr. Kridel and his team.

Here is an example of a before and after photo.  However, when you visit Dr. Kridel’s office you will be able to review an extensive book of additional examples.

  1. Be realistic

It is very important that you are realistic about what can be achieved, particularly if your nose was significantly altered internally by the prior surgeon.  You may or may not be able to have the exact nose you had imagined when you had surgery the first time.  However, in the hands of a skilled Rhinoplasty specialist like Dr. Kridel, you will be able to achieve a very pleasing outcome and be extremely happy with the results.

— Kirin, Facial Plastic Surgery Associates, Houston TX

 

How to find Best Revision Rhinoplasty Surgeons in US

November 16th, 2013 Kirin

12 Important Questions to Find the Best Revision Rhinoplasty Surgeons in US

Don’t like the results of your nose job?  Can’t breathe as well as you would like after Rhinoplasty surgery?  Are you worried about finding a surgeon that can fix your nose because the first cosmetic nasal surgery was not successful?

Finding one of the best Revision Rhinoplasty surgeons in US for nasal surgery can be very daunting. Particularly, if you had surgery before and were unhappy with your results.  It is only natural to be worried about how to find a second (or in some cases, third or fourth) surgeon that will improve your appearance and not make the situation worse.

Fortunately, there are several questions that you can ask when you interview a surgeon that will help you feel more comfortable that you have identified one of the best revision rhinoplasty surgeons in US with the proven skill and experience to truly help you.

Find best revision rhinoplasty surgeons in US

12 Questions patient should ask the revision rhinoplasty surgeon at the consultation:

1)   Are you a board certified Facial Plastic Surgeon?

You want to have a surgeon who specializes strictly in the area of the head and neck.  In addition to a residency in Head & Neck Surgery, board-certified facial plastic surgeons also have completed another year of specialized fellowship training specifically in facial plastic surgery.

2)   Do you have at least 10 years of experience?

For Revision Rhinoplasty surgery, you want a surgeon that has significant experience and skill.

3)   How many Rhinoplasty and Revision Rhinoplasty surgeries do you perform per year?  (look for at least 50 per year)

Dr. Kridel performs approximately 100 Rhinoplasty (including Revision Rhinoplasty) surgeries each year.

4)   Have you taught major courses to other surgeons on Rhinoplasty in the past two years?

Surgeons, like Dr. Kridel, who teach other surgeons have the depth of experience you need.

5)   Have you written scientific papers on Revision Rhinoplasty in the last five years?

Dr. Kridel has written numerous scientific journal papers recently and has published over 60 just on the subject of Rhinoplasty.

6)   Have you lectured at a major medical institution in the last two years specifically on Revision Rhinoplasty?  Other surgeons only want the best and the brightest surgeons to lecture at their institutions.

7)   Do you have an appointment to a medical school?  Medical schools want surgeons with the highest level of skill to lecture and teach their future surgeons.

8)   Have you done Revision Rhinoplasty surgery on other doctors and their family members?

Like you, physicians want the best care for their families.  Fortunately, physicians trust Dr. Kridel for their care as well as their family’s care.

9)   Are there before and after patient photos of a similar procedure that I can view?

Make sure the before and after photos you look at during your consultation are specific to the surgeon you are speaking to.  Also, it is better if the photos are taken without makeup.

10)  Are there patients that I could speak with about their experience with this procedure?

It can help put your mind at ease to speak with at least one patient of the surgeon’s that has gone through the entire process from pre-op through post-operative care.

11)  How often do you have to redo the work you have done on your own patients?  No one is perfect, however the percentage should be less than 5%.

At FPSA our rate is less than 5%.

12)  Do you use computer imaging so that I can know what to expect post-operatively?  The surgeon should take photos at multiple angle photos of your nose and then review the computer imaged versions with you so that you can discuss and visualize the results you can expect post-operatively.

There should be 100%  positive and thorough answers to all of these questions before considering a surgeon for Revision Rhinoplasty surgery.

Why Dr. Russell Kridel is one of the best revision rhinoplasty surgeons in US:

The answers to these questions are precisely why Dr. Kridel is considered by his peers and patients to be one of the best revision rhinoplasty surgeons in US.  Surgeons, including other plastic surgeons, often send him complicated Revision Rhinoplasty patients because they want the patient to have the greatest opportunity for success.  Thus, it is no surprise that Dr. Kridel is often referred to as “The Doctor’s Doctor” and  “THE  Nose Doc.”

 

—- Kirin, Facial Plastic Surgery Associates, Houston TX

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