Lesson 1Dorsal hump reduction manoeuvres: rasping, guarded osteotomy, component resection, preservation techniques (let-down/let-in)This part addresses 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 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 septoplasty, stressing submucoperichondrial elevation, cartilage scoring and reshaping, septal pocketing for grafts, and extracorporeal septoplasty basics while keeping L-strut whole and minimising mucosal 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 part reviews turbinate reduction choices, 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 stabilisationRadiofrequency and microdebrider methodsPreventing overresection and empty noseLesson 4Bony pyramid modification: lateral and medial osteotomies, greenstick vs complete, preventing and managing open roofThis part covers changing the bony pyramid, including planning lateral and medial osteotomies, choosing greenstick versus complete breaks, controlling break lines, and preventing, spotting, and handling 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 part reviews closed rhinoplasty ways, detailing endonasal access, suture methods for tip and dorsum, case picking, technical limits, and rules for safely switching to open when 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 part covers graft taking and handling, detailing safe septal cartilage harvest with L-strut keeping, alternatives like conchal and costal cartilage, and basics of carving, shaping, storing, 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 elevationThis part details open rhinoplasty exposure, including designing transcolumellar and marginal cuts, gentle soft tissue handling, flap elevation levels, and ways to keep blood flow, cut scarring, and allow exact structural 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 part explains cartilage-based moves for tip refinement, focusing on cephalic trim planning, crural suture patterns, and dome-shaping ways that 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 graftsThis part focuses on nasal valve surgery, covering reasons and planning for spreader grafts, butterfly grafts, lateral crural strut grafts, and alar batten grafts to restore internal and external valve function without over-widening 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 animationThis part explains surgery control of tip rotation and projection using columellar strut grafts, tongue-in-groove moves, and targeted tip sutures, highlighting their body effects, order, and impact on smile movement and animation.
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
