Lesson 1Dorsal hump reduction maneuvers: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)This lesson tackles top hump cuts, comparing filing, safe bone cuts, part removes with keep methods like let-down and let-in, for smooth lines without open roof or V gaps.
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 lesson steps through septum fix, stressing lining lift, cartilage score and reshape, pockets for grafts, outside septum fix keeping L-strut and low lining harm.
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 lesson reviews turbinate shrinks like under-lining cuts, breaks out, radio waves or mini-cutter aids, stressing lining keep, bleed stop, avoid 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 lesson covers bone pyramid changes, planning side and middle cuts, partial vs full breaks, line control, spotting and fixing open roof and rocker bends.
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 lesson reviews inside-only nose surgery, inside access, stitch methods for tip and top, case picks, limits, and when to switch to open for better view or hold.
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 lesson covers graft taking and prep, safe septum cartilage get with L-strut keep, ear and rib options, carving, shaping, store, fix to cut warp.
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 lesson details open nose surgery opens, column-cross and edge cuts, gentle tissue handle, flap lift levels, keep blood flow, low scars, easy 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 lesson explains cartilage tip sharpens, top trim plans, leg stitch patterns, dome shapes balancing sharp, hold, air keep, low long-term twists.
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 lesson spotlights nose valve ops, when and place for spreaders, butterfly, side leg struts, wing battens to fix valves without wide top or tip.
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 lesson teaches tip turn and reach control with column struts, tongue-groove, aimed tip stitches, their body effects, order, smile move 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
