Lesson 1Dorsal hump reduction maneuvers: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)This part deals with back hump shrinking, comparing filing, safe bone cuts, and part removal with keep methods like let-down and let-in, focusing on smooth back lines and stopping open roof or V-shape 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 outlines step-by-step wall straightening, stressing under-membrane lift, soft part marking and reshaping, wall pockets for grafts, and outside wall fix basics while keeping L-shape whole and cutting wet layer 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 part reviews shelf shrinking choices, including under-membrane removal, break-out, and heat or tool-help methods, stressing wet layer keep, bleed control, and ways to 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 part covers bone tower changes, including planning side and middle bone cuts, picking bend vs full breaks, guiding break lines, and stopping, spotting, and fixing open roof and side wobbles.
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 reviews inside nose surgery ways, detailing inside cuts, stitch methods for tip and back, case picks, tech limits, and rules for safely switching to open when see or hold is not enough.
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 graft taking and handling, detailing safe wall soft part taking with L-shape keep, other choices like ear and rib soft parts, and rules for shaping, smoothing, storing, and fixing to cut twists.
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 nose surgery opening, including across-middle and edge cuts, gentle soft part handling, lift layers, and ways to keep blood flow, cut marks, and help exact build 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 soft part moves for tip sharpening, focusing on top trim planning, leg stitch patterns, and top-shaping ways that balance sharp, hold, and air keep while cutting long harm shapes.
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 focuses on nose door surgery, covering reasons and planning for spreader grafts, wing grafts, side leg bar grafts, and base stick grafts to fix inside and outside door work without too wide back 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 part explains work control of tip turn and reach using middle bar grafts, tongue-slot moves, and aimed tip stitches, showing body effects, order, and hit on smile moves and action.
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
