Lesson 1Dorsal hump reduction manoeuvres: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)This lesson handles dorsal hump cutting, comparing rasping, guarded osteotomy, and part removal with keeping methods like let-down and let-in, focusing on smooth dorsal lines and stopping open roof or inverted-V 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 lesson outlines step-by-step septoplasty, stressing submucoperichondrial lifting, cartilage marking and reshaping, septal pockets for grafts, and extracorporeal septoplasty basics while keeping L-strut whole and cutting lining harm.
Hemitransfixion and Killian incision choicesSubmucoperichondrial flap elevationCartilage scoring and controlled weakeningSeptal pocketing and graft stabilisationExtracorporeal septoplasty indications and stepsLesson 3Turbinate reduction techniques: submucosal resection, outfracture, radiofrequency or microdebrider-assisted reductionThis lesson reviews turbinate cutting choices, like submucosal removal, outfracture, and radiofrequency or microdebrider help, stressing lining keeping, bleeding control, and ways to avoid empty nose problem.
Preoperative turbinate and airway assessmentSubmucosal resection indications and stepsOutfracture technique and stabilisationRadiofrequency and microdebrider methodsPreventing overresection and empty noseLesson 4Bony pyramid modification: lateral and medial osteotomies, greenstick vs complete, preventing and managing open roofThis lesson covers changing the bony pyramid, including planning side and middle osteotomies, picking greenstick versus full breaks, controlling break lines, and stopping, spotting, and fixing open roof and rocker issues.
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 closed rhinoplasty ways, detailing inside-nose access, suture methods for tip and back, case picking, tech limits, and when to switch to open if access or control is not enough.
Endonasal incision design and accessEndonasal tip suture techniquesEndonasal dorsal modification methodsRecognising 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 taking and handling grafts, detailing safe septal cartilage taking with L-strut keeping, other choices like conchal and costal cartilage, and carving, shaping, storing, fixing to cut 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 lesson details open rhinoplasty access, including planning transcolumellar and edge cuts, gentle soft tissue handling, flap lift levels, and ways to keep blood flow, cut scars, and ease exact structure work.
Planning transcolumellar incision designMarginal incision placement and executionElevation planes and flap thickness controlProtecting vascularity and soft tissue envelopeClosure techniques to minimise visible scarsLesson 8Cartilage techniques for tip refinement: cephalic trim, medial and lateral crural sutures, interdomal and transdomal suturesThis lesson explains cartilage moves for tip sharpening, focusing on cephalic trim planning, crural suture patterns, and dome-shaping ways that balance sharpness, support, and air keeping while cutting long-term 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 lesson focuses on nose valve surgery, covering when and planning for spreader grafts, butterfly grafts, lateral crural strut grafts, and alar batten grafts to fix inside and outside valve work without widening back 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 lesson explains surgery control of tip turn and reach using columellar strut grafts, tongue-in-groove moves, and aimed tip sutures, showing their body effects, order, and smile movement impact.
Analysing baseline rotation and projectionColumellar strut graft design and fixationTongue-in-groove technique and variationsTip suture combinations for fine-tuningAssessing tip behaviour with facial animation
