Facial Analysis and the Aesthetic Ideal

July 23rd, 2010

Dr. Kridel was recently recognized for his active contributions to the peer-reviewed, online eMedicine Clinical Knowledge Base for WebMD.com.

Russell WH Kridel, MD, FACS  is currently assigned as a co-author on two articles: Prerhinoplasty Facial Analysis, and Prerhytidectomy Facial Analysis in the following eMedicine book(s): Otolaryngology and Facial Plastic Surgery.

“Man has long tried to capture the beauty of the human face.  Praxiteles’ Aphrodite from 450 BC was considered a standard for artistic beauty for several hundred years. The Renaissance artists of the late 14th century furthered the ancient Greek canons of beauty and described a set of proportions known as the neoclassical canons of beauty. Our ideals of beauty have changed over the last several hundred years, but these concepts are built on the foundations of past artists and scholars, as well as innate aesthetic preferences. With the advent of modern media, our popular icons have shaped or have been shaped by our concept of beauty… Interestingly, homogenous opinions concerning beauty exist across cultures. Cross-cultural consistency results from an evolutionary process linking physically attractive features to biological or social fitness.”

Evaluation for any cosmetic surgery procedure includes clear communication and building an effective rapport with the patient, and is not complete without a thorough history, which begins with a discussion about the patient’s motivations. In addition, systematic facial analysis is critically important for surgical planning.

Numerous potential pitfalls can be identified and complications can be avoided by correlating the patient’s concerns with the individual’s facial anatomy in order to develop a realistic goal.

Properly motivated patients have a healthy self-esteem and seek restorative changes. Having realistic expectations of postoperative results as well as the postoperative recovery period is vitally important for the patient.

For rhinoplasty patients, specific techniques must be chosen and executed expertly, with the knowledge that each maneuver usually alters several characteristics of the nose at the same time. An appropriate marriage of analysis and technique yields the
greatest opportunity for achieving the most important goal of any cosmetic surgery: a satisfied patient.

You can read the entire articles here:

Prerhinoplasty Facial Analysis
http://emedicine.medscape.com/article/842545-overview

Prerhytidectomy Facial Analysis 
http://emedicine.medscape.com/article/842489-overview

eMedicine is the most authoritative and accessible point of care medical reference available to physicians and other health care professionals on the Internet. eMedicine has a worldwide audience, including all of the 192 UN-recognized countries as well as other state s and territories. The site is part of the Medscape Professional Network which receives an average 1.5 million physician visits per month. The evidence-based content, updated regularly by some 8,000 attributed physician or health care provider authors and editors, provides the latest practice guidelines in 38 clinical areas. The eMedicine Clinical Knowledge Base contains articles on over 6,700 diseases and medical topics, and is richly illustrated with some 29,000 multimedia files. eMedicine’s professional content undergoes multiple levels of rigorous physician peer review, plus an additional review by a PharmD prior to publication.

Ethnicity in Facial Plastic Surgery

May 20th, 2010

Dr. Russell Kridel served as a Guest Editor for this month’s issue of Facial Plastic Surgery, the Official Journal of the European Academy of Facial Plastic Surgery which focused upon Ethnicity in Facial Plastic Surgery.

Facial Plastic Surgery JournalIn this issue surgeons explore special considerations such as preserving or modifying the facial features of different ethnic groups, and discuss the challenges and questions for these various concepts of ethnicity and of modern and changing standards of aesthetic beauty.

Rhinoplasty is currently the most popular facial plastic surgery procedure requested by Hispanic and African-American patients.  Traditional procedures and techniques have evolved to favor more ethnic preservation.

In two articles “African-American Rhinoplasty” and “Hispanic-American Rhinoplasty”, Dr. Kridel details how surgical planning shoud be sensitive to both individual and cultural differences in aesthetic perception and the patient’s expectations.

Kridel, RWH, Rowe-Jones J: Guest Editors. Ethnicity in Facial Plastic Surgery. Facial Plastic Surgery.  Thieme Medical Publishers, 2010; 26 (2).

Kridel, RWH, Patel, A. “African-American Rhinoplasty” In Ethnicity in Facial Plastic Surgery. Facial Plastic Surgery.  Thieme Medical Publishers, 2010; 26 (2): 131-141.

Kridel, RWH, Patel, A. “Hispanic-American Rhinoplasty” In Ethnicity in Facial Plastic Surgery. Facial Plastic Surgery.  Thieme Medical Publishers, 2010; 26 (2): 142-153.

Surgeons explore new ideal of beauty

March 18th, 2010

Rodeo Rhinoplasty Houston 2010

Rodeo Rhinoplasty Houston Texas 2010

Rodeo Rhinoplasty Houston Texas 2010


Surgeons explore new ideal of beauty“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

Rodeo Rhinoplasty Houston Texas 2010

Sex, self-image and nose jobs

March 18th, 2010

“The nose is a very, very sexual organ.”

Physicians from across the globe were in Houston through the weekend for Rodeo Rhinoplasty, a conference directed by Houston facial plastic surgeon Dr. Russell Kridel tackling all things nose jobs. 

Presentations at the meeting explained how the looks of Beyoncé and other people of color are changing global standards of beauty.

Discussants explained the fascinating connection between sexuality, self-image and snouts in Cindy George’s MedBlog at HoustonChronicle.com

medblog

A health and medicine blog with Cindy George and Todd Ackerman

Posted by Cindy George at March 12, 2010 01:09 PM
http://blogs.chron.com/medblog/archives/2010/03/sex_selfimage_a.html

Use of Cartilage Grafts in Nose Surgery Results in High Patient Satisfaction

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

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.

The Changing Face of Cosmetic Surgery

December 1st, 2009
Dr. Kridel- ABC 13

Dr. Kridel- ABC 13

Dr. Kridel was featured last night on ABC channel 13 discussing how plastic surgeons require special skills to deal with different ethnicities.

Click the link below to view the video:

The Changing Face of Cosmetic Surgery