Patients desiring rhinoplasty typically have an idea of what they want—either to make their nose smaller, narrower, or wider. Patients interested in rhinoplasty express their desire to change the appearance of their nose because they feel it detracts from the natural beauty of their face. At the Houston, TX plastic surgery office of Dr. Russell Kridel and Dr. Angela Sturm, the most common requests for rhinoplasty include:
Our Rhinoplasty Difference
Internationally recognized by other physicians as one of the best nose surgeons, Dr. Kridel performs hundreds of rhinoplasty surgeries every year. He has published over 60 scientific papers and textbook chapters on rhinoplasty, and has developed four surgical techniques specific to rhinoplasty that are now taught in medical schools. Dr. Kridel is also invited as a featured speaker on rhinoplasty at plastic surgery conferences around the world every year. He has been given the highest awards by his specialty for surgical excellence. As “THE Nose Docs," patients, including physicians and their family members, come not only from Houston, but from all around the country to have their rhinoplasty performed by Dr. Kridel or Dr. Sturm because of their technical skill and expertise in rhinoplasty surgery. Dr. Sturm completed her advanced fellowship training in facial plastic surgery with Dr. Kridel, and was hand selected by him to join the practice because of her surgical skill and dedication to the highest standards of patient care.
"My overall experience with Rhinoplasty with Dr. Kridel has been very positive with better results than I expected. The care received from the office staff, surgical center and Doctors has made this experience easy, non-stressful, and feeling very cared for. I’m very happy and love my nose! If I knew it was going to be this easy and pain-free I would have done it years ago!! Thank you."- V.B. / Office Visit / Dec 09, 2014
"I feel more confident and like my face better. Dr. Kridel did an amazing job on my nose. I am very happy with the results."- E.P. / Office Visit / Dec 09, 2014
"I was involved in a traffic accident. It broke my nose. I am involved in martial arts and again broke my nose. The results were a disfigured nose and flat nose appearance. Dr Kridel fixed my nose and I am more confident in my appearance."- N.A. / Office Visit / Dec 09, 2014
"Before the surgery I had a hard time breathing and I was very self-conscious about the shape. Now that I had the surgery done I am very confident and almost never think about my old nose."- K.S. / Office Visit / Dec 09, 2014
"I could not have wished for better results. I feel more comfortable in my own skin and proud to show off my nose. The staff was very attentive and always willing to answer questions."- A.T. / Office Visit / Dec 09, 2014
Rhinoplasty Surgical Technique
There are two general surgical approaches to nasal surgery, open rhinoplasty or closed rhinoplasty. With open rhinoplasty, also referred to as external rhinoplasty, a very small incision is made between the nostrils on the underside of the nose. This allows the tip of the nose to be opened to gain a better view and better access to the underlying structures of the lower and middle third of the nose. The incision lines heal nicely leaving scars that are virtually undetectable. With the large number of more complex nasal cases referred to FPSA, Dr. Kridel has extensive experience in the exacting technique involved in open rhinoplasty. Closed rhinoplasty, also referred to as endonasal rhinoplasty, is an approach in which all incisions are confined to the inside of the nostrils, resulting in no visible skin incisions. This technique is used on noses that have features that are more easily corrected, when the tip of the nose has good shape and is not too long, too wide, over or under projected and the dorsum is straight. The appropriate approach, be it open or closed, depends upon the complexity and difficulty of each patient’s nose and is determined by the surgeon. Dr. Kridel and Dr. Sturm will discuss their recommended approach with you during your consultation once they have been able to complete their evaluation of your specific needs and aesthetic goals.
Your Rhinoplasty Consultation
No other aesthetic medical practice in Houston provides as thorough of a consultation for nose surgery. You can expect to be with us for about 2 hours. Dr. Kridel and Dr. Sturm will do a full medical examination of your nose and facial structure, discuss your goals and answer all of your questions or concerns. In addition, patients will have a special rhinometry test to evaluate nasal airflow to determine if there is a breathing problem that needs to be addressed in surgery. Dr. Kridel and Dr. Sturm feel it is imperative to not only address the cosmetic appearance of your nose, but also how your nose functions. It is important that you not only achieve aesthetic improvement, but that you are also able to breathe well following surgery. In addition, digital photo imaging will be completed and reviewed with you so that you can visualize the results you can expect from rhinoplasty surgery. Patients will also review extensive before-and-after photos not available over the Internet, as well as other educational materials specific to rhinoplasty.
Rhinoplasty is performed under general anesthesia in an accredited outpatient surgical facility, and typically 2-4 hours to complete depending on the complexity of the surgery. Dr. Kridel and Dr. Sturm do not pack your nose. Instead, splints of soft material inside your nose hold the newly repositioned tissue in place. You will be seen the very next day and the material will be removed and replaced with external dressings that then get removed after a couple of days and replaced with a small strip of tape. Like all of our surgical patients, we will also see you multiple times over the course of the following two weeks, months and up to a year. Our high standard of patient care, including follow-up care, is heralded by all of our patients. The surgical techniques, as well as the pre-operative and post-operative care, are designed to minimize bruising and patients often comment that the discomfort is far less than they expected. Swelling will take place, but the majority subsides within a few weeks. Your nose will continue to improve over months to come until you see the final result “settle in” within a year.
The cost for rhinoplasty surgery will vary depending on the complexity of surgery, including any functional corrections that need to be made to obtain your optimal aesthetic goal tailored specific to you. Costs for a primary rhinoplasty surgery can range between $5,000-$9,500. In general, secondary or revision rhinoplasties cost more depending on the nature of each individual case.
Plan Your Procedure
- Average Cost
- $6,750 - $10,000
- Recovery Time
- 2-4 Weeks
- Average Procedure Time
- 3-5 Hours
- Post-op Follow-up
- 1 Day
- Procedure Recovery Location
It is extremely common for patients to have septoplasty surgery at the same time as rhinoplasty surgery, because they have a deviated or damaged septum. Many patients also need enlarged turbinate correction to improve breathing, which is also done at the same time as the Septoplasty and Rhinoplasty if needed. To achieve their ideal aesthetic goal, some patients also have chin augmentation at the same time to correct a receding chin.
Selecting a Nose Surgeon
Rhinoplasty surgery is the most complex and difficult surgery of the head and neck. It is critical that patients select a facial plastic surgery specialist who is familiar with the anatomy and has extensive training and experience specific to nasal surgery. If nasal surgery is unsuccessful, the impact can be devastating to patients and expensive to repair. Dr. Kridel and Dr. Sturm have completed extensive advanced training in both facial plastic surgery and otolaryngology, head and neck surgery, so they have unique knowledge of the function, anatomy and the aesthetics of the nose. With Dr. Kridel and Dr. Sturm you are in the hands of award-winning experts who are recognized by other physicians for their expertise. Needless to say you will be in the best of hands.
Turbinates and Rhinoplasty?
At your consultation, Dr. Kridel and Dr. Sturm complete a thorough examination including an evaluation of the internal septum and other key internal nasal passage structures called the turbinates. During your visit the clinical staff will also perform a special rhinometry test to assess breathing function. The turbinates, three in each nasal passage, are finger-like shelves attached to the lateral wall of the right and left nasal passages. Their function is to help moisturize, filter, and warm incoming air. The lower, or inferior, turbinate plays a major part in airflow volume. Enlargement of the turbinates takes up valuable nasal passage space and will diminish breathing. In these cases, Dr Kridel and Dr. Sturm will recommend inferior turbinate surgery to help correct airflow difficulties.
Does Insurance Cover Surgery?
Insurance does not cover rhinoplasty because it is an elective, cosmetic procedure. Most patients also have eptoplasty surgery performed at the same time to correct a septal deviation or other “functional” medical condition. Dr. Angela Sturm accepts most major insurance carriers for the functional portion of the septoplasty surgery only. Patients are responsible for the cosmetic portion, and any other portion not covered by their insurance benefits. Dr. Kridel does not accept insurance and is considered an out-of-network provider. We provide patients of Dr. Kridel with appropriate paperwork that they can file with their carrier if they so choose.
Can My Heritage be Preserved?
Rhinoplasty surgery is a procedure that can be performed on individuals of all races. With skill and precision, Dr. Kridel and Dr. Sturm takes great effort to ensure that the ethnic heritage of their patients is preserved during surgery. The surgeon's primary focus is to create an aesthetic result that the patient desires while working within the confines of the natural bone structure, which varies by ethnicity. Patients who wish to change the appearance of their nose but preserve their ethnic heritage can learn more by visiting our Ethnic Rhinoplasty page.
The overall goal of a rhinoplasty procedure is to provide a natural, aesthetically appealing nose that functions well. In general, rhinoplasty is a difficult procedure to master. While most nose surgeries end with a great outcome, some patients will experience complications, or simply may not be happy with the visible result. Dr. Kridel is an experienced revision rhinoplasty surgeon and performs secondary nose surgery routinely on patients who have had an unsatisfactory result under the hands of another surgeon. During this process, his primary goal is to restore an appearance that is acceptable to the patient, as well as ensure the nose functions as it should. For more information on revision rhinoplasty, please visit our procedure page on this topic to learn more.