Master Open Hybrid Rhinoplasty Step-by-Step 21 Hours Live Surgery • Piezo Techniques • Natural Results

2025 Live Surgery Open Rhinoplasty Course

Primary Hybrid Rhinoplasty for “the Natural Look”

with Enrico Robotti, MD

6 Surgical Videos | 21 Hours of Operative Footage | ~50 GB | HD Streaming

Just Released – 2025

This comprehensive live surgery course takes you directly into the operating room with Dr. Enrico Robotti as he demonstrates how to achieve consistently natural-looking outcomes using a modern hybrid approach to primary rhinoplasty.

Designed for surgeons at every stage of their career, this series delivers a deep, practical understanding of hybrid primary rhinoseptoplasty, combining the strengths of preservation and structural techniques. Through real operative cases, Dr. Robotti shares his surgical philosophy, technical nuances, and decision-making strategies that allow for precise control of both aesthetics and function.

Course Overview

This course focuses on:

• Hybrid primary rhinoplasty for natural, stable results

• Open rhinoplasty techniques applied to real-world clinical scenarios

• Strategic integration of piezoelectric devices and power tools for osteotomy and osteoplasty

• Advanced septal, turbinate, and tip management

• Functional and aesthetic optimization in primary and complex cases

All procedures are presented in high-definition operative video, with step-by-step demonstrations and expert commentary.

What You’ll See in the Operating Room

• Variations of cartilaginous push-down, full let-down, and modified push-down techniques

• Structural tip refinement with preservation–reconstruction of ligaments

• Tip and dorsal dissection in subperichondrial–subperiosteal planes

• The Three-Point Compartmentalization Technique to reduce edema and improve surface contour

• Advanced concepts including sublaminar septal dissection and septal fusion sling suspension

• Consistent use of piezo and power tools for osteotomies and osteoplasty

• Septal and turbinate management, including piezo-assisted turbinoplasty

• Composite grafting for alar retraction

• Intraoral chin implant placement

• Bonus case demonstrating finesse rib grafting in secondary rhinoplasty using the SPLF dorsal graft technique for saddle-nose reconstruction

What You’ll Gain From This Series

• Master Hybrid Rhinoplasty – Learn how to balance preservation and structural approaches for natural results

• Enhance Precision – Observe expert application of piezo and power tools for controlled osteotomy and contouring

• Reduce Edema, Improve Definition – Apply advanced dissection and compartmentalization techniques

• Adopt New Concepts Confidently – Integrate modern septal and turbinate management strategies into daily practice

• Refine Functional & Aesthetic Outcomes – Improve breathing, contour, and long-term stability

Surgical Cases Included (21 Hours Total)

Case 1 – 49-year-old female
Modified dorsal split hybrid preservation with cartilaginous push-down, osteoplasty, advanced structural tip reediting, septal fusion sling, piezo turbinoplasty, and three-point compartmentalization.

Case 2 – 25-year-old male
Complex primary case following childhood neurofibromatosis excision, combining primary and secondary rhinoplasty techniques with reconstruction and composite grafting.

Case 3 – 21-year-old female
Severely deviated nose with breathing dysfunction and thin skin managed using full let-down hybrid preservation and advanced tip restructuring.

Case 4 – 32-year-old female
Crooked nose with major functional issues treated with asymmetric let-down, extensive osteoplasty, sublaminar septal dissection, and fusion sling suspension.

Case 5 – 22-year-old female
Major dorsal hump and chin hypoplasia treated with hybrid preservation rhinoplasty and intraoral chin augmentation.

Case 6 (Bonus) – 41-year-old female
Secondary rhinoplasty with rib grafting, L-strut reconstruction, extended spreader grafts, and SPLF dorsal grafting for saddle-nose deformity.

Target Audience

 Surgical Professionals

• Plastic surgeons specializing in facial aesthetics

• ENT / Otolaryngology surgeons performing rhinoseptoplasty

• Facial plastic surgeons seeking advanced open rhinoplasty techniques

 Training & Education

• Fellows and residents in plastic surgery and ENT programs

• Educators incorporating hybrid rhinoplasty into surgical curricula

 Advanced Practitioners

• Experienced rhinoplasty surgeons refining hybrid techniques

• Surgeons interested in preservation rhinoplasty, structural refinement, and piezo-assisted surgery