Lesson 1Dorsal hump reduction maneuvers: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)Dis part tackle dorsal hump reduction, comparing rasping, guarded osteotomy, and component resection with preservation methods like let-down and let-in, focusing on smooth dorsal lines and preventing open roof or inverted-V deformity.
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 principlesDis part outline step-by-step septoplasty, stressing submucoperichondrial elevation, cartilage scoring and reshaping, septal pocketing for grafts, and principles of extracorporeal septoplasty while keeping L-strut strong and cutting mucosal injury.
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 reductionDis part review turbinate reduction options, including submucosal resection, outfracture, and radiofrequency or microdebrider-assisted methods, stressing mucosal keeping, bleeding control, and ways to avoid empty nose syndrome.
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 roofDis part cover changing di bony pyramid, including planning lateral and medial osteotomies, choosing greenstick versus complete breaks, controlling break lines, and preventing, knowing, and handling open roof and rocker deformities.
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 openDis part review closed rhinoplasty approaches, detailing endonasal access, suture methods for tip and dorsum, case choice, technical limits, and criteria for safely changing to open approach when exposure or control no good.
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)Dis part cover graft taking and handling, detailing safe septal cartilage harvest with L-strut keeping, alternatives like conchal and costal cartilage, and principles of carving, shaping, storage, and fixing to cut warping.
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 elevationDis part detail open rhinoplasty exposure, including design of transcolumellar and marginal cuts, gentle soft tissue handling, flap elevation planes, and ways to keep blood flow, cut scarring, and make precise structural work easy.
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 suturesDis part explain cartilage-based moves for tip refinement, focusing on cephalic trim planning, crural suture patterns, and dome-shaping strategies wey balance definition, support, and airway keeping while cutting long-term deformities.
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 graftsDis part focus on nasal valve surgery, covering when to use and planning for spreader grafts, butterfly grafts, lateral crural strut grafts, and alar batten grafts to restore internal and external valve strength without too much widening of dorsum 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 animationDis part explain operation control of tip rotation and projection using columellar strut grafts, tongue-in-groove moves, and targeted tip sutures, highlighting their body mechanics effects, sequencing, and impact on smile dynamics and movement.
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
