Lesson 1Dorsal hump reduction maneuvers: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)This part tackles reducing the dorsal hump, comparing filing, protected cuts, and part removal with keeping methods like let-down and let-in, aiming for smooth lines and avoiding open roof or V-shaped issues.
Preoperative dorsal profile analysisRasping versus guarded osteotomy useComponent dorsal hump resection stepsLet-down and let-in preservation conceptsAvoiding open roof and inverted-V deformityLesson 2Septoplasty operative steps: submucoperichondrial elevation, cartilage scoring, septal pocketing, extracorporeal septoplasty principlesThis part steps through septoplasty, stressing lining lift, cartilage scoring and reshaping, pockets for grafts, and outside-nose septoplasty basics while keeping L-strut strong and lining safe.
Hemitransfixion and Killian incision choicesSubmucoperichondrial flap elevationCartilage scoring and controlled weakeningSeptal pocketing and graft stabilizationExtracorporeal septoplasty indications and stepsLesson 3Turbinate reduction techniques: submucosal resection, outfracture, radiofrequency or microdebrider-assisted reductionThis part reviews ways to reduce turbinates, like under-lining removal, breaking out, and heat or tool-assisted methods, focusing on keeping lining, stopping bleeds, and avoiding empty nose feel.
Preoperative turbinate and airway assessmentSubmucosal resection indications and stepsOutfracture technique and stabilizationRadiofrequency and microdebrider methodsPreventing overresection and empty noseLesson 4Bony pyramid modification: lateral and medial osteotomies, greenstick vs complete, preventing and managing open roofThis part handles changing the bone pyramid, planning side and middle cuts, picking partial or full breaks, guiding lines, and spotting, stopping, and fixing open roof and side shift problems.
Preoperative analysis of bony vaultLateral osteotomy techniques and toolsMedial osteotomies and intermediate cutsGreenstick versus complete osteotomiesPrevention and repair of open roof deformityLesson 5Closed rhinoplasty techniques: endonasal suture techniques, limitations, and when to convert to openThis part looks at closed rhinoplasty methods, detailing inside-nose access, stitching for tip and bridge, suitable cases, limits, and signs to switch to open for better view or control.
Endonasal incision design and accessEndonasal tip suture techniquesEndonasal dorsal modification methodsRecognizing limitations of closed approachIndications to convert to open rhinoplastyLesson 6Graft harvest and handling: septal cartilage harvest technique, septal preservation considerations, alternatives (conchal, costal)This part covers taking and managing grafts, detailing safe septal cartilage removal keeping L-strut, options like ear or rib cartilage, and ways to shape, store, and fix to stop bending.
Septal cartilage harvest and L-strut safetyConchal cartilage harvest techniquesCostal cartilage harvest and donor risksCarving and contouring to limit warpingGraft storage, orientation, and fixationLesson 7Open rhinoplasty exposure: transcolumellar and marginal incisions, soft tissue handling, and flap elevationThis part details open rhinoplasty access, planning across-columella and edge cuts, gentle tissue handling, lift levels, and ways to keep blood flow, reduce scars, and allow exact structure work.
Planning transcolumellar incision designMarginal incision placement and executionElevation planes and flap thickness controlProtecting vascularity and soft tissue envelopeClosure techniques to minimize visible scarsLesson 8Cartilage techniques for tip refinement: cephalic trim, medial and lateral crural sutures, interdomal and transdomal suturesThis part explains cartilage moves for tip shaping, focusing on edge trim plans, leg stitch patterns, and dome methods that balance sharpness, support, and breathing while avoiding future issues.
Planning and limits of cephalic trimMedial crural sutures for tip supportLateral crural sutures and contour controlInterdomal sutures for dome unificationTransdomal sutures for tip definitionLesson 9Nasal valve procedures: spreader graft placement, butterfly grafts, lateral crural strut grafts, alar batten graftsThis part centres on nasal valve surgery, covering needs and plans for spreader grafts, butterfly types, side leg struts, and wing supports to fix inner and outer valves without widening bridge or tip too much.
Assessment of internal and external nasal valvesSpreader graft sizing and fixation methodsButterfly graft indications and placementLateral crural strut graft design and pocketingAlar batten grafts for external valve collapseLesson 10Tip rotation and projection control: columellar strut graft, tongue-in-groove, tip sutures; effects on animationThis part explains surgery control of tip angle and height using columella struts, tongue-groove moves, and aimed tip stitches, noting force effects, order, and smile movement impacts.
Analyzing baseline rotation and projectionColumellar strut graft design and fixationTongue-in-groove technique and variationsTip suture combinations for fine-tuningAssessing tip behavior with facial animation
