Revision Rhinoplasty in Houston, TX

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Although patients undergo rhinoplasty with the expectation to improve their appearance, sometimes, a less-than-desirable outcome can occur. A wide variety of reasons may cause a patient to be displeased with a previous rhinoplasty procedure completed by another physician. As internationally recognized experts in revision rhinoplasty, Houston facial plastic surgeons Dr. Russell Kridel and Dr. Sean Delaney, can help correct these issues. Referred to as “THE Nose Doc” around the U.S., patients, including other doctors and their family members, come to Houston from around the world to have revision rhinoplasty by Dr. Kridel. Dr. Sean Delaney previously trained under Dr. Kridel and has extensive experience in revision nasal surgery. Together, they are known for their outstanding surgical skill, expertise, and experience in revision rhinoplasty.

My experience with Dr. Kridel was truly life-changing. I am so grateful for his knowledge and skills on revision rhinoplasty. After having multiple surgeries with other surgeons, Dr. Kridel was able to change my nose in a way that makes my entire face look so much better.

A. Healthgrades

Estoy muy felíz con los resultados de mi cirugía, hace 4 semanas tuve una rinoplastía y apesar del inchazón se me ve realmente muy natural como si nunca he tenido tal cirugía. También Dr. Delaney inició un tratamiento para mejorar la apariencia de una cicatriz en la cara que lo tuve desde niña, cada día los resultados se van viendo invisibles, me siento muy contenta con dichos resultados. Ustedes no tienen idea cómo éstos cambios ayudaron mucho a mejorar mi autoestima. Sin duda Dr. Delaney es el mejor cirujano plástico, es muy amable, meticuloso y sobre todo muy profesional. Estoy agradecida con el Dr. y con el personal que labora con él, son muy serviciales me ayudaron mucho con el idioma! contenta con mis resultados!🙂Altamente recomendado!👍

T.I. Google

Excellent revision rhinoplasty performed by Dr. Kridel - Dr. Kridel performed a very difficult revision rhinoplasty surgery on me. He fixed the mess 2 previous Doctors did to my nose. Dr. Kridel is a great listener and he is very patient and does not rush the appointment which I found very comforting. It's been 2.5 months since I had my surgery and I'm very happy with the results! It far exceeded my expectations. I also would like to mention Dr. Kridel's fellow, Dr. Starr, Ashlee, Zoe and the whole staff for giving me 5 start treatment each and every visit. Thank you Dr. Kridel!


I had revision rhinoplasty with Dr. Kridel in March of 2023. It has now been 1 year since my surgery and I am extremely pleased with the results! I originally met with Dr. Kridel in 2017 to discuss my initial rhinoplasty I was contemplating. I loved Dr. Kridel during our first meeting. However, I allowed other people’s (family & friends) opinions of what the procedure should cost and what I needed to have done influence my decision. I had rhinoplasty done in 2019 with a different doctor. 4 years later I had a large divot on one side, the opposite side had multiple subtle bumps, I had to pull my airway open on one side to breath through both nostrils, among other things. When I made the decision to have a revision done in 2023 I started my research over and found a couple doctors who specialized in revisions. At the end of the day I knew in my heart who was the right choice and, based on my previous experience, I decided to go with the doctor I trusted, Dr. Kridel. I was very nervous at my first consultation because I was embarrassed that I was coming back 6 years later asking him to fix what another surgeon did. He was extremely kind, professional, understanding and non judgmental. I was so relieved and happy, I knew right away that this was the right choice. From my initial consultation, my surgery, the follow ups, interactions with the staff and fellows, to a year later… I can’t say enough nice things about Dr. Kridel and his entire staff. Their professionalism is top notch. One thing that I really appreciated was the detailed information packet Dr. Kridel gave me before my surgery. I read every page and by the time I was done I felt like I had an understanding of the entire process, the healing process and what I should expect in the years that follow my procedure. I could go on and on about how wonderful my experience has been. I LOVE my results! Dr. Kridel, thank you for your attention to detail, listening to me, being kind, professional and most of all, my results!

A.T. Google

Dr. Kridel performed a very difficult revision rhinoplasty surgery on me. He fixed the mess 2 previous Doctors did to my nose. Dr. Kridel is a great listener and he is very patient and does not rush the appointment which I found very comforting. It's been 2.5 months since I had my surgery and I'm very happy with the results! It far exceeded my expectations. I also would like to mention Dr. Kridel's fellow, Dr. Starr, Ashlee, Zoe and the whole staff for giving me 5 start treatment each and every visit. Thank you Dr. Kridel!

J.C. Healthgrades


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Revision & Dr. Kridel

Dr. Kridel has published numerous scientific papers and textbook chapters on revision rhinoplasty. He has developed surgical techniques specific to revision rhinoplasty that is now taught in medical schools and has a special set of medical instruments named after him that surgeons use for nasal surgery. Dr. Kridel is also invited annually as a featured speaker at plastic surgery conferences worldwide. After having unsuccessful rhinoplasty surgery somewhere else, patients want the peace of mind of having revision rhinoplasty performed by a surgeon that is recognized by other surgeons as one of the country’s best.

Revision rhinoplasty is a far more complex procedure that needs special expertise to correct because the original surgery may have significantly altered the anatomy inside the nose. Before any surgery, there are layers of tissue planes that have natural separations between the different types of nasal tissues. These layers can be easily separated during a primary rhinoplasty to reach the underlying nasal structures. After this first surgery, these planes become scarred together, making any subsequent surgery more difficult. In some cases, there may be structural deficiencies that require one or more grafts to restore this lost structure.

Revision Rhinoplasty Technique

As with primary rhinoplasty, two common surgical approaches are used on revision rhinoplasty, open rhinoplasty and closed rhinoplasty. Most revision rhinoplasty surgeries are performed using the open rhinoplasty technique because of the significant amount of anatomical change inside the nose after the first nose surgery.

Facial Plastic Surgery Associates prides itself on the thoroughness of its revision rhinoplasty consultations. Similar to the experience for primary nose surgery consultations, revision rhinoplasty patients can expect to be with us for aabout 1.5 to  2 hours. We will discuss your previous surgery or surgeries, current circumstances, including any breathing issues, and your postoperative desires. Patients will also be asked to bring a copy of their previous rhinoplasty medical records for the surgeon to review. Our clinical staff can also provide a medical record request form that can be submitted if desired.

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During/After Revision Surgery

Revision rhinoplasty surgeries share many similarities with primary rhinoplasty surgeries performed at Facial Plastic Surgery Associates.  However, revision rhinoplasty generally takes about one to two hours longer because of the added degree of complexity. 

Expected Cost

Revision Rhinoplasty is acknowledged as the most difficult surgical procedure in facial plastic surgery.  The cost for Revision Rhinoplasty surgery is higher than primary rhinoplasty because the surgery is far more complex. Other surgeons in Houston refer revision rhinoplasty patients to our practice because of Dr. Kridel's and Dr. Delaney's expertise.  Dr. Kridel is recognized around the world as one of the best Revision Rhinoplasty surgeons and has published over 100 scientific journal articles and textbook chapters on Revision Rhinoplasty and Rhinoplasty advanced surgical techniques.  Dr. Sean Delaney has also published extensively with Dr. Kridel and is an award winning Rhinoplasty surgeon.  You will be in the best of hands with either surgeon. Cost for Revision Rhinoplasty range from $21,000 to $31,000 and includes surgical fees, OR (operating room), and Anesthesia fees. Because every individual is unique, the level of complexity may effect pricing.

Cause for Revision Rhinoplasty?

As a result of previous rhinoplasty surgery, patients may have an aspect of their nose that they do not care for. From an aesthetic standpoint, surgery may have created a bump or depression, or a drooping, or collapsed appearance. Nose function could also be an issue stemming from the first surgery. This may include difficulty breathing, a deviated septum, or nasal valve collapse. Revision rhinoplasty can correct these issues and create a nose that not only looks natural but also functions properly.

Choosing a Revision Doctor?

Revision rhinoplasty surgery has an even higher degree of complexity than primary rhinoplasty. Therefore, it is important to find a reputable and suitable rhinoplasty surgeon with extensive experience and success performing revision rhinoplasties. With Dr. Kridel and Dr. Delaney, patients are in the hands of revision rhinoplasty experts recognized by other physicians and patients for their expertise.

Dysfunctional Airway?

Sometimes, following a rhinoplasty surgery a patient may find it difficult to breathe. This can result from a problem that existed before the first surgery or one that was created from having the nose altered. Dr. Kridel and Dr. Delaney often perform revisions to correct a dysfunctional nasal airway. What is required in some cases can be the correction of a deviated or crooked septum, which is the partition between the nostrils, and trimming of the turbinates. A graft may also be needed to support the nasal tip.

Septal Perforation?

Patients who have already had surgery on the septum may require revision surgery to improve breathing. Dr. Kridel and Dr. Delaney must address scar tissue and altered anatomy, which makes this a difficult procedure. However, even more serious, is a septal perforation or hole in the dividing partition. This can happen with a previous rhinoplasty or septoplasty that was performed elsewhere. Some of the signs of septal perforation are bleeding, crusting, nasal obstruction, and drainage. A perforated septum is hard to repair because it represents not one hole but three holes – a hole through the septal cartilage and a hole in each side of the membrane that covers the septum. Dr. Kridel pioneered the technique to close a septal perforation successfully and is considered the leading expert in performing this surgery. Dr. Kridel and Dr. Delaney have extensively published the subjective of Septal Perforation Repair.

Insurance Coverage?

As with primary rhinoplasty, insurance does not cover revision rhinoplasty surgery because it is considered an elective, cosmetic procedure.

*Individual results are not guaranteed and may vary from person to person. Images may contain models.