Comprehensive Rhinoplasty Techniques – Volume 2

Mastering Rhinoplasty – Volume 2

Advanced Surgical Techniques for Primary Rhinoplasty

2-Volume Mastering Rhinoplasty Video Series
by L. Mike Nayak, MD

In Volume 2 of this advanced rhinoplasty video series, Dr. L. Mike Nayak presents his systematic approach to managing the diverse and complex challenges faced by rhinoplasty surgeons today. The cases span a wide anatomical spectrum—from soft cartilage with thick skin to strong, bulbous cartilage with thin skin—addressing critical issues of dorsal width, nasal projection, and axial alignment.

Each case begins with a detailed analysis of nasal aesthetics and anatomy, followed by formulation of a precise surgical plan. Using open rhinoplasty techniques for optimal visualization, Dr. Nayak demonstrates a logical, step-by-step, and reproducible approach to correction—emphasizing predictable, stable, and functional outcomes.

Throughout every procedure, Dr. Nayak clearly explains the rationale behind each maneuver. While a consistent surgical foundation underlies all cases, each has been carefully selected to highlight distinct and challenging anatomical problems commonly encountered in primary rhinoplasty.

Program Highlights

• 4 Primary Rhinoplasty Cases

• 4.5 Hours of Operative Video

• High-definition surgical footage

• Focus on precision, structure, and long-term stability

Techniques Demonstrated

• SubSMAS nasal dissection

• Subperichondrial nasal dissection

• Open septoplasty

• Dorsal hump reduction via rasping and osteotomy

• Intranasal, percutaneous, and root osteotomies

• Middle vault reconstruction using spreader grafts and autospreader turn-in flaps

• Tip support techniques including:

  • Lateral crural steal

  • Columellar strut

  • Septal tongue-in-groove

  • Caudal septal extension grafts

• Tip dynamics modification using:

  • Cephalic and caudal trims

  • Autorim grafts

  • Suture techniques

  • Interrupted strip techniques

• Management of lateral crural convexity:

  • With and without lateral crural transposition

  • Alar batten underlay grafts

• Fine contour refinement with shaved and crushed cartilage grafts

Surgeries Included

Case 1: Narrow nose with dorsal hump and plunging tip
Case 2: Thick skin, boxy tip, and moderate dorsal hump
Case 3: Sebaceous skin with bulbous tip and convex lateral crura
Case 4: Deviated nose with high radix and ptotic tip

Format

• HD Streaming or DVD

• Total Runtime: 4.5 hours

• Release Year: 2021