Master the Art of Hybrid Rhinoplasty for Truly Natural Results
Precision, Preservation, and Natural Results in Every Case
$89.99 Instead of $450.00
Step inside the operating room with renowned surgeon Dr. Enrico Robotti as he demonstrates the cutting-edge hybrid approach to primary rhinoplasty. Combining the best of structural and preservation techniques, this immersive training shows you how to deliver the “natural look” patients desire—without compromising function or long-term stability.
Whether you’re a seasoned surgeon or early in your rhinoplasty journey, you’ll gain invaluable insight into modern techniques, precision tool use, and the subtle nuances that define surgical excellence.
What's inside ?
- Extensive Curriculum: 6 high-value surgical cases covering a spectrum of anatomical challenges and aesthetic goals, including a bonus secondary rhinoplasty case.
- 21 Hours of Expert-Led Operative Video: Step-by-step HD surgical footage with clear narration, tips, and pitfalls from Dr. Robotti himself.
- Innovative Techniques: Blending piezoelectric and power tools for precise osteoplasty and osteotomies, advanced tip reconstruction, and new functional preservation strategies.
Video Preview:
What You’ll See in the OR
- Structural tip management with preservation–reconstruction of ligaments
- “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)
- Variations of cartilaginous push down, full let down, and modified push down with enclosure of a portion of bony cap, and dorsal surface sculpturing
- Tip and dorsal dissection on subperichondrial–subperiosteal planes
- 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.
- Minimize Edema, Maximize Contour – Understand how techniques like subperichondrial dissection and three-point compartmentalization reduce swelling and improve outcomes.
- Refine Techniques With Precision Tools – See expert use of piezo and power tools for osteotomy, contouring, and septal work
- Apply New Concepts With Confidence – Watch demonstrations of sublaminar septal dissection, septal fusion sling suspension, and piezo-assisted turbinoplasty.
Featured Cases
- 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.”
