How to repair a perforated nasal septum

January 18th, 2015 Kirin

Septal Perforation Repair Explained:

Repair of a septal perforation, also known as a perforated septum, is considered one of the most technically challenging nasal surgeries.  Since a septal perforation is a three-layered hole in all three tissue layers of the septum, repair of septal perforations must address reconstructing all of these three layers to achieve the greatest success.

Success of a repair should be based not only on the closure of the perforation, but also restoration of the physiological function of the nasal septum. In other words, in addition to making sure the hole is closed and you are symptom-free, the surgeon should also make sure that you can breathe normally once again.

In general, techniques which utilize extensively mobilized, bilateral, intranasal mucosal advancement flaps and interposition and anchoring of a connective tissue-type graft have the most success.

For the majority of septal perforation repair surgeries, Houston nasal surgery specialist, Dr. Russell Kridel utilizes an open rhinoplasty approach rather than a closed approach. An external rhinoplasty approach allows Dr. Kridel to gain greater access to the septum where the perforation resides.  Not only does this approach have a proven high success rate in restoring normal nasal function and physiology it also has the advantage of allowing Dr. Kridel to combine rhinoplasty surgery at the same time.  Many patients desire cosmetic improvement of their nose as well as the functional repair.

Dr. Kridel is regarded within the medical community as THE EXPERT in septal perforation repair. He has pioneered and refined surgical techniques that have proven to be effective in closure of septal perforations, with a 99% success rate.  His techniques are considered the gold standard among surgeons around the world. Dr. Kridel has published more than 60 scientific journal articles and textbook chapters on Rhinoplasty techniques, with more than 15 specifically on the subject of septal perforation repair.  No other nasal surgery specialist currently active in private practice in the U.S. has published as many scientific papers on perforated septum repair as Dr. Kridel.

Other methods of repairing a perforation can involve the use of other materials such as skin grafts or grafts from inside the mouth that have been transferred up to this area. The problem with skin grafts or grafts from the mouth, or totally free grafts, is that these grafts do not fill the hole with the same kind of normal lining tissue of the nose. Skin grafts in the nose tend to shed and crust continuously. Free grafts sometimes fail and die in the nose leaving you with the original perforation or a worse problem. Grafts from inside the mouth are very drying and never feel normal. Additionally, these other techniques have about a 50% success rate. Dr. Kridel does not use this type of approach.

Septal perforation repair in the hands of the right surgeon can be a life changing, life improving, event.  Just ask our patient Mark, who came all the way from Australia, after visiting surgeons all around the world, to have his perforated septum repaired by Dr. Kridel.

So, if you want to know how to repair a perforated nasal septum, look no further than contacting Dr. Russell Kridel at Facial Plastic Surgery Associates in Houston, TX. To make an appointment for a consultation with Dr. Russell Kridel about septal perforation repair, contact us at 713/526-5665.

— Kirin, Facial Plastic Surgery Associates, Houston

You can also see  Dr. Kridel’s video about septal perforation repair surgery.

And, if you are interested in cosmetic improvement of your nose as well, you can learn more about Rhinoplasty surgery at todaysface.com.

 

 

 

Nasal trauma injury addressed by Houston Rhinoplasty specialist

December 3rd, 2014 Kirin

Nasal Trauma Injury Needs to be Addressed

 

Sports injuries, accidents and other traumatic events can cause damage to the nose.  Many signs of injury to the nose are external and easily observed, such as, bruising, bleeding and swelling.  However, there can also be internal damage as well, including a fractured septum, deviated septum or a septal perforation that are not visible to the eye.

Surprising to many, the anatomy of the nose is very involved with many intricate and delicate elements, bone and cartilage. The geometry of the nose is highly complex with no straight lines or simple curves.  Airflow through the nose is a more complicated process than air over a jet wing.

When you injure your nose, there can be a wide range of damage done.  So, if your injury results in any symptoms such as swelling, disfigurement or difficulty breathing, you should seek out a consultation with a facial plastic surgeon, like Houston Rhinoplasty specialist,  Dr. Russell Kridel.

Timeframe for Surgery:

If the injury is extensive with visible bleeding, most patients go to the emergency room.  A wise decision. However, if the injury was not extensive, many patients believe little or no damage was done and simply put ice on their nose, wait for the swelling to go down and nothing else.  Sometimes, patients have a sports injury in childhood and adjust to abnormal breathing into adulthood until they have so much difficulty breathing they seek a physician’s help.

In fact, any impact with the nose can result in extensive damage, particularly internal injury.  If an injury occurs, here is a good overall timeframe to follow.

  • If your nose is bleeding excessively or you have a great deal of pain you should seek immediate professional medical care
  • For patients who notice any moderate to significant changes in breathing or have swelling and bruising, should see Dr. Kridel within a couple of days.  He will be able to assess the damage and help set a treatment plan.  Simple breaks or deviations can be reset within 7 to 14 days.
  • If Dr. Kridel finds the injuries require more extensive surgery, he will recommend surgery for about six months after the trauma and the nose has healed.

Septal Perforation:

In some cases, the traumatic injury can result in a perforated septum, which is a hole in the septum.  This hole cannot be seen in a mirror and left unidentified can actually grow in size over time.  A septal perforation can result in nasal crusting, whistling, difficulty breathing that can be both annoying and in some instances, debilitating.  One more reason not to wait to have an evaluation by Dr. Kridel following a traumatic nasal injury.  Fortunately, Dr. Kridel is recognized as the preeminent expert in septal perforation repair.  But, needless to say, he would far prefer that patients take more preventive and active measures following a traumatic injury to avoid a perforation if possible.

Correcting Damage from Nasal Trauma:

No two noses are the same and when traumatic injury is involved, the challenge is even greater because the internal anatomy may also have changed.  It is important that you identify a facial plastic surgeon to consult.  Facial plastic surgeons, like Dr. Kridel, have extensive training focused solely on the nose, head and neck.  To become a facial plastic surgeon, you must first complete a residency in otolaryngology, head and neck surgery. Then they complete an additional residency on facial plastic surgery.  So, they can address both the appearance, but also the function to restore or enhance the look of your nose and also make sure that you can breathe normally once again.  General plastic surgeons perform surgery on the whole body and do not have this additional training focused on the nose.

For the majority of patients, Dr. Kridel will need to perform a septoplasty to correct the damage to the septum.  He may also need to reduce the turbinates to improve airflow. In addition, in most cases the shape of the nose has also been altered as a result of the injury.  Where appropriate, Dr. Kridel will perform a rhinoplasty to correct and improve the appearance of the nose to match your aesthetic goal.

What sets Dr. Kridel apart?

No other plastic or facial plastic surgeon in Houston has as much expertise or experience in nasal surgery as Dr. Russell Kridel.  He is recognized as a world-renowned expert in Rhinoplasty by both peers and patients and is often referred to as “The Nose Doc” because of the depth of his expertise. Dr. Kridel has been performing facial plastic surgery procedures for over 20 years and currently performs more than a hundred fifty nasal surgeries per year. He has published over 60 scientific journal articles and textbook chapters on the subject of Rhinoplasty and has developed four innovative surgical techniques for nasal surgery that have been incorporated into the curriculum for plastic surgery training. Dr. Kridel is also invited as a featured guest lecturer on Rhinoplasty to the most prestigious medical symposiums in the U.S. and around the world. Dr. Kridel has also been named a Castle Connolly and H-Texas Magazine Top Doc from 2005 – 2014, among many other accolades. Because of this experience, physicians refer other patients, themselves and family members to Dr. Kridel for Rhinoplasty surgery.

Needless to say, you will be in the best of hands with Dr. Kridel.

— Kirin, Facial Plastic Surgery Associates

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

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.

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.

 

 

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.

Septal Perforation Repair

May 22nd, 2014 Kirin

Septal Perforation Repair is Extremely Complex

A septal perforation is a hole known as a “perforation” in the nasal septum, which is the tissue that separates the nostrils.  A perforation, in the nasal septum is not just a one-layered hole.  Rather, it is a hole in the cartilaginous, or bony portion of the septum that separates your nose into two distinct sides, as well as a hole in both membranes that cover the septum.    Depending on the location and size of the perforation, it is extremely difficult to repair.

Septal Perforation Repair by Dr. Kridel

Before and After Septal Perforation Repair by Dr. Kridel

Patients with a septal perforation can have many symptoms that are extremely uncomfortable and difficult to live with.  These include: frequent crusting, bleeding, whistling while breathing, nasal obstruction and runny nose (rhinorrhea).

Why do so many doctors say they can’t fix a septal perforation?

The reason is that the surgical technique is very difficult and if not performed correctly can result in a larger hole or simply an unsuccessful close. Very few surgeons across the country have the training, experience and comfort level to perform this surgery.  Therefore, physicians refer the patient to a facial plastic and reconstructive specialist, like Dr. Kridel, with significant experience in septal perforation surgery, particularly if the hole is of a certain size and some symptoms are present.

Dr. Kridel is the Best Surgeon for Repairing a Septal Perforation

Russell Kridel, MD is internationally recognized as “the expert” in septal perforation repair.  He has published over 20 medical journal articles and textbook chapters on septal perforation repair and has trained surgeons across the U.S and other countries on his pioneering techniques.  His 99% success rate is unprecedented in the community based on the range and complexity of perforations that are referred to him.

Septalperforations.com

To help patients learn more about septal perforation, Dr. Kridel created a website dedicated to providing in-depth information about the condition.

YouTube:  Dr. Kridel Septal Perforation Repair Patient

It can also be helpful to hear from a patient who shares some of the same challenges of having a septal perforation.  View this YouTube video of a septal perforation repair patient of Dr. Kridel who shared his incredible journey to finding Dr Kridel and how his life changed with the successful repair by Dr. Kridel.

 

— Kirin, Facial Plastic Surgery Associates Houston, TX

For an appointment with Dr. Russell Kridel, please call 713/526-5665.

Can my septal perforation be fixed?

March 16th, 2014 Kirin

Can my septal perforation be fixed? Or, do I have to live with this hole in my nose forever?

One of the first questions patients with septal perforation as is, Can my septal perforation be fixed? The answer is not an easy one.  Septal perforation is a very complex problem that requires a very complex surgery.

Septal Perforation photo

Pre-op photo of a septal perforation

There are many causes of a perforated septum, which is a hole in the septum. It can occur as a result of previous nasal surgery or as a result of a nasal fracture.  However, a septal perforation can often be from cocaine use or other forms of trauma.

For patients with this problem, the symptoms can be extremely uncomfortable and very difficult to live with.  Patients can experience frequent crusting, bleeding, whistling while they breathe and incessant runny nose.

Fortunately, Dr. Kridel has a 99% success rate repairing septal perforations. He is one of the few surgeons in the country that performs this surgery and has pioneered surgical techniques specific to this area.  He has written over 20 textbook chapters and scientific journal articles on septal perforation.

Surgeons from all around the US and around the world who discover a large septal perforation refer their patients to Dr. Kridel because the surgery is so challenging and requires experience and expertise they may not have specific to this diagnosis.

Dr. Kridel has developed a website dedicated to septal perforations so that patients can better understand the problem, as well as the potential solutions.

We also encourage patients to view the You Tube video of a septal perforation patient who had septal perforation repair surgery by Houston facial plastic surgeon Dr. Russell Kridel.  It can be very reassuring to know that you are not alone and that in the hands of an experienced and skilled surgeon like Dr. Kridel, there may be a solution.  And the answer to your question — Can my septal perforation be fixed — may very well be, “Yes.”

— Kirin, Facial Plastic Surgery Associates Houston, TX

Septal Perforation Repair Patient Thanks Dr. Kridel & Creates Own Site To Share Story

March 9th, 2013 Kirin

Dr. Russell Kridel is internationally recognized as one of the few experts in the surgical repair of septal perforation — a condition that involves a hole in the nasal septum.  He has written over 20 scientific journal articles  and developed several innovative surgical techniques that have made him a recognized leader in this field.

Septal perforation is a very complex problem. It can occur as a result of previous nasal surgery, trauma, cocaine use, septum piercing, cancer, excessive nose picking and disease such as syphilis, typhoid and tuberculosis.

And when a septal perforation is present, a patient can have any number of uncomfortable and irritating symptoms that can make daily life more challenging.  Such symptoms can include; bleeding, crusting, runny nose and a whistling sound within the nose. Dried blood may also accumulate within the area and lead to difficulty breathing.

Because of the level of difficulty of septal perforation surgery, many physicians refer patients to Dr. Kridel.  As a result, patients come, not only from the Houston area, but from all around the world for consultation and surgery with Dr. Kridel.

At the one-year anniversary of his successful septal perforation repair surgery by Dr. Kridel, one of our patients from Spain wrote the following:

“Dear Doctor Kridel,

Today, One year after you operated me, I want to send you my greetings and my deepest grateful.  I remember you very often. Every day whenever  I breath, when I realize that my perforation is closed, I remember of you and I feel grateful for your expertise and your marvellous hands.
I will never forget you. I will never say you thank you enough times.
Thousands of thanks and best regards.” —J.G. 3/13

This patient has even created his own website, in Spanish, devoted to his journey from the struggles of living with a septal perforation, through his surgery with Dr. Kridel, and after the successful closure. Feel free to visit this fascinating site: https://sites.google.com/site/septalperforation/

Photo series that shows hole in septum being measured before surgery and post surgery photos of the closed perforation 

 

In addition, Dr. Kridel has a site, http://www.septalperforations.com, which is devoted to helping educate patients, family and friends about this debilitating condition and how it can possibly be resolved.

It is important for patients to seek proper medical attention for a perforated septum, as untreated larger holes may affect the structure of the nose and lead to physical deformities.  If you or a friend has a septal perforation, please call us at 713/526-5665 for a consultation with Dr. Kridel.

— Kirin

Facial Plastic Surgery Associates, Houston TX

Septal Perforation: A Patient’s Story

August 3rd, 2012 Kirin

One of Dr. Kridel’s patients shares his amazing journey from living with a septal perforation to finding the world’s expert on septal perforation repair — Dr. Kridel.  He wanted to share his story so that he could help others find quality care for their own septal perforation problems.

Check out this patient’s story here:

 

Septal perforation is a very complex problem. It is a hole in the nasal septum that can occur as a result of previous nasal surgery, nasal fracture or other trauma, use of steroid nasal sprays, as well as other causes. When a septal perforation is present, a patient can have any number of uncomfortable and irritating symptoms that make their daily life very challenging and uncomfortable.  Many of these are shared by the patient in the video.

Over the past 25 years, Dr. Russell Kridel, a facial plastic surgery specialist, has developed innovative surgical techniques and written over 20 scientific journal articles on septal perforation that have made him recognized as a leader in this field internationally. Patients and doctors come from all around the world for surgery because of Dr. Kridel’s unique surgical expertise in septal perforation and rhinoplasty.

If you find this interesting, you may want to read the journal articles posted here on the site Dr. Kridel devotes specifically to septal perforations

 

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”.

http://www.plasticsurgerypractice.com/eReport/2012-06-11_09.asp