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.

Dr. Kridel Often Performs Revision Rhinoplasty to Correct Breathing Difficulties

April 5th, 2013 Kirin

Dr. Russell Kridel often does Revision Rhinoplasty to correct a dysfunctional airway — in other words, the person can’t breathe well. This can result from a problem that existed prior to your first surgery (known as Primary Rhinoplasty or Nose Job).  Or if the nasal airway was changed during your previous surgery by another physician, you may now be having trouble breathing through your nose, especially if your nose was made smaller or if you experienced a post-operative drooping of the tip of your nose.

As a result, you may now need correction of a deviated or crooked septum (the partition between the nostrils), and trimming of your turbinates may be required (turbinates are structures deep inside the nose on the sides which warm and humidify the air going through your nose). Although you may have already had surgery on your septum, a revision septoplasty may be necessary to improve your breathing. Furthermore, you may need a graft to re-support the tip of your nose.

Revision rhinoplasty is a significantly more difficult procedure because scar tissue has formed and often some of the structures inside the nose may have been altered or removed. However, following successful revision rhinoplasty surgery with Dr. Kridel, patients are ecstatic that they can breathe again.

Dr. Kridel is a double board-certified facial plastic surgeon in Houston.  He is board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery. This dual training is very significant in nasal revisions, because the revision rhinoplasty procedure is a classic combination of both functional and aesthetic surgery.  Dr. Kridel performs more than 50 revision rhinoplasties each year and has written over 20 scientific papers and textbook chapters on Revision Rhinoplasty and has been invited by physicians all around the world to speak at medical conferences.

Check out a video by Dr. Kridel about Rhinoplasty and some of Dr. Kridel’s before and after photos.

— Kirin, Facial Plastic Surgery Associates

Dr. Kridel answers questions about what to expect with nasal surgery

January 25th, 2013 Kirin

It is important for patients to understand what to expect with nasal surgery. Dr. Kridel answers several common questions that relate to nasal surgery — both Rhinoplasty (also knwon as a Nose Job) and Septoplasty.

How long does nasal surgery take?

Nasal surgery, usually lasts about two hours in an outpatient surgical facility.  If it is a more complicated Rhinoplasty or Revision Rhinoplasty surgery, it will take additional time.

What do I feel like right after surgery?

You will likely wake up a bit groggy from having been under light anesthesia.  There’s a small external splint on your nose and a small dressing inside your nose.  Your nose feels stuffy, and slightly bloody mucous drainage may seep into the dressing applied below your nose.  You may also experience swelling and bruising around your eyes.

Will it hurt after surgery?

Few patients are bothered by pain related to this surgery. Actually, most people who have nose surgery describe any pain associated with rhinoplasty as “mild.”  You can take mild medication that is prescribed by Dr. Kridel after surgery to handle any discomfort.  However, it is important to avoid aspirin products and other medications that tend to increase bleeding.

What do I do after I go home from surgery?

After you go home, you should rest with your head elevated. Dr. Kridel may also suggest that you use a cold compress to minimize swelling.

When do I get the dressings off?

You will visit the office the day after surgery and the physicians will look at your nose  and remove any light packing and change the dressing.

When can I go back to work?

Most people can return to work or school a week after surgery, but you must wait several weeks before resuming significant exercise.  Air travel is allowed a week after having nose surgery.

If you had Rhinoplasty or Revision Rhinoplasty surgery, by the time you return to work or school, your nose will look really good. It will continue to improve over the months to come, and you will see your final result “settle in” after about a year. With Septoplasty surgery, it is functional nasal surgery and there is not a cosmetic improvement component.

Check out one of Dr. Kridel’s before and after Rhinoplasty photos:

Before Rhinoplasty with Dr. Kridel

After Rhinoplasty with Dr. Kridel

Dr. Kridel is passionate about providing the highest standards of care, including follow-up care. You will be visiting Dr. Kridel numerous times after you have the surgery and he follows patients for years. He has written dozens of medical journal articles about the longevity of the results of his surgical techniques.

—- Kirin, Facial Plastic Surgery Associates, Houston TX