Include: 6 videos, size: 50 GB
Target Audience: plastic surgeons specializing in facial aesthetics, otolaryngology surgeons, facial plastic surgeons
Information:
By Enrico Robotti, MD
Just Released! Achieve Natural-Looking Results With a Hybrid Approach to Primary Rhinoplasty
Join Dr. Enrico Robotti in the operating room as he demonstrates how to achieve the natural look today’s primary rhinoplasty patients are seeking.
Designed for surgeons at any stage of their career, this video series presents a wide range of techniques, nuances, and pitfalls in modern hybrid primary rhinoseptoplasty. Dr. Robotti shares his philosophy for achieving consistently natural results by thoughtfully combining structural and preservation approaches—and by skillfully blending the use of piezoelectric devices and power tools for osteoplasty and osteotomy.
What You’ll See in the OR:
- Variations of cartilaginous push down, full let down, and modified push down with enclosure of a portion of bony cap, and dorsal surface sculpturing
- Structural tip management with preservation–reconstruction of ligaments
- Tip and dorsal dissection on subperichondrial–subperiosteal planes
- “Three-point compartmentalization technique” for decreasing edema and providing proper surface contour
- New concepts, including sublaminar septal dissection and septal fusion sling suspension (as introduced by Dr. Carlos Neves)
- Combined use of piezo and power tools for osteotomies and osteoplasty in every case
- Septal and turbinate management, including Dr. Robotti’s “piezo turbinoplasty” for achieving proper function
- Composite grafting for alar retraction and use of intraoral chin implant placement
- A bonus case showing finesse rib grafting in a secondary rhinoplasty patient using Dr. Robotti’s SPLF dorsal graft technique for reconstruction of saddle-nose deformity
What You’ll Gain From This Series:
- Combine Preservation and Structure – Learn how hybrid primary rhinoplasty techniques deliver natural results.
- Refine Techniques With Precision Tools – See expert use of piezo and power tools for osteotomy, contouring, and septal work.
- Minimize Edema, Maximize Contour – Understand how techniques like subperichondrial dissection and three-point compartmentalization reduce swelling and improve outcomes.
- Apply New Concepts With Confidence – Watch demonstrations of sublaminar septal dissection, septal fusion sling suspension, and piezo-assisted turbinoplasty.
Watch now and elevate your approach to primary rhinoplasty with innovative techniques and expert guidance.
6 Cases With 21 Hours of Operative Video:
- Case 1 – Primary rhinoplasty in 49-year-old female patient with drooping tip with hump, volume excess, and wide bony dorsum: Modified dorsal split hybrid preservation: high strip cartilaginous push down with right-side overlap, osteoplasty, structural tip reediting including lateral crural steal, LLC turn-under, “taco” septal extension graft, spacer strut, ligament reconstruction, and septal fusion sling. Septoplasty, piezo turbinoplasty, three-point compartmentalization, mini alar contour grafts.
- Case 2 – Primary rhinoplasty in 25-year-old male patient with previous nasal neurofibromatosis excision: This case, with residual deformity from excision of nasal neurofibromatosis in childhood, presents elements that combine both primary and secondary rhinoplasty techniques. Structural rhinoplasty, perichondrial–periosteal flaps, osteoplasty, excision of residual neurofibroma, reconstruction of lateral crura, septoplasty, bilateral spreader grafts, alar contour grafts, composite conchal graft to the right retracted ala.
- Case 3 – Primary rhinoplasty in 21-year-old female patient with deviated nose, severe breathing dysfunction, dorsal hump, and thin skin: Modified dorsal split hybrid preservation: osteoplasty, low strip full let down, septoplasty, piezo turbinoplasty, structural tip reediting with lateral crural steal, LLC slide under, end-to-side septal extension graft, spacer strut, three-point compartmentalization, alar contour grafts.
- Case 4 – Primary rhinoplasty in 32-year-old female patient with crooked nose, thin skin, bulbous tip, and severe functional issues: Modified dorsal split hybrid preservation: high strip full asymmetric let down, extensive osteoplasty, septoplasty, piezo turbinoplasty, partial middle vault opening with LKA release, structural tip reediting with LLC slide under, septal extension graft, sublaminar septal dissection and fusion sling, three-point compartmentalization, diced cartilage to tip.
- Case 5 – Primary rhinoplasty in 22-year-old female patient with major hump, chin hypoplasia, and thin skin: Modified dorsal split hybrid preservation: osteoplasty, high strip asymmetric full let down, septoplasty, piezo turbinoplasty, structural tip reediting with ligament reconstruction, septal fusion sling, and three-point compartmentalization sutures. Chin augmentation with anatomic silicone implant inserted intraorally.
- Case 6 (Bonus) – Secondary rhinoplasty in 41-year-old female patient with deviation, pinched tip, and mild saddling with breathing obstruction: Rib harvesting, full open exposure, osteoplasty, L-strut septal reconstruction with laminated rib grafting including extended spreader graft and septal extension grafts, septoplasty for residual deviation, extended lateral crural struts with transposition for tip reconstruction, and SPLF graft to the dorsum with additional “rib plaster.”
Available in HD Streaming format. 6 cases with 21 hours of operative video. 2025.
The target audience for the 2025 Live Surgery Open Rhinoplasty Course with Dr. Enrico Robotti, MD—titled Primary Hybrid Rhinoplasty for “the Natural Look”—is primarily composed of:
Surgical Professionals
- Plastic surgeons specializing in facial aesthetics
- ENT (Otolaryngology) surgeons with a focus on rhinoseptoplasty
- Facial plastic surgeons seeking advanced techniques in open rhinoplasty
Learners & Educators
- Fellows and residents in plastic or ENT surgery programs
- Medical educators looking to incorporate hybrid rhinoplasty techniques into training curricula
Advanced Practitioners
- Experienced rhinoplasty surgeons aiming to refine their skills with hybrid techniques
- Surgeons interested in preservation and structural approaches, including piezo-assisted osteoplasty and septoplasty
This course is designed for professionals at any stage of their career, offering high-definition operative videos, nuanced technique demonstrations, and expert commentary to elevate surgical precision and aesthetic outcomes
Topics:
Case 1 – Primary rhinoplasty in 49-year-old female patient with drooping tip with hump, drooping tip, volume excess, and wide bony dorsum.mp4
Case 2 – Primary rhinoplasty in 25-year-old male patient with previous nasal neurofibromatosis excision.mp4
Case 3 – Primary rhinoplasty in 21-year-old female patient with deviated nose, severe breathing dysfunction, dorsal hump, and thin skin.mp4
Case 4 – Primary rhinoplasty in 32-year-old female patient with crooked nose, thin skin, bulbous tip, and severe functional issues.mp4
Case 5 – Primary rhinoplasty in 22-year-old female patient with major hump, chin hypoplasia, and thin skin.mp4
Case 6 (Bonus) – Secondary rhinoplasty in 41-year-old female patient with deviation, pinched tip, and mild saddling with breathing obstruction.mp4
