Secondary Open Rhinoplasty With Rib Grafting | Live Surgery Course

Rib Grafting in Secondary Open Rhinoplasty — From A to Z

Live Surgery 2-Volume HD Video Series (2023)

Instructor: Enrico Robotti, MD
Format: HD Streaming
Content: 8 surgical videos
Total Runtime: 30+ hours of operative footage
Total Size: 74.1 GB
Release Year: 2023

🎯 Target Audience

• Rhinoplasty surgeons

• Otolaryngologists (ENT specialists)

• Plastic & facial plastic surgeons

Level: Designed for experienced surgeons seeking advanced mastery in secondary and revision rhinoplasty.

Course Overview

This comprehensive two-volume live surgery series is exclusively dedicated to secondary open rhinoplasty using rib grafting, taught directly from the operating room by master surgeon Dr. Enrico Robotti.

Secondary rhinoplasty represents one of the most demanding areas in facial plastic surgery. This course provides a clear surgical algorithm, refined intraoperative strategies, and deep technical insight to help surgeons confidently manage complex revision cases using finesse rib grafting techniques.

Each case includes:

• Full preoperative analysis and surgical planning

• Step-by-step intraoperative dissection and reconstruction

• Detailed discussion of technical nuances, pitfalls, and decision-making

• Final review including postoperative dressings

What You Will Learn

• Rib harvesting with meticulous donor-site management

• Rib shaping, laminating, and fixation techniques

• SPF / SPLF grafts and rib cartilage paste

• L-strut septal reconstruction using rib

• Combining rib grafts with residual septal cartilage

• Reconstruction of the dorsal plateau and dorsal contouring

• Transosseous sutures and advanced fixation strategies

• Tip reconstruction across different deformities and skin qualities

• Internal and external nasal valve reconstruction

• Functional airway restoration alongside aesthetic refinement

• Use of piezoelectric and power instrumentation in revision cases

Emphasis is placed on precision, avoiding unnecessary bulk, and achieving stable long-term results.

📀 Volume Breakdown

Volume 1 — 4 Cases | 13+ Hours

Focus: Secondary & tertiary rhinoseptoplasty with rib grafting

1. 29-year-old female
   Inverted-V deformity, tip overshortening, alar retraction, thick skin

2. 25-year-old male
   Post-traumatic deformity, severely crooked nose, bulbous drooping tip

3. 32-year-old female (tertiary case)
   Overrotation, polly beak, asymmetric osteotomies, thick skin

4. 56-year-old female
   Open roof deformity, saddling, hyperprojection, infratip excess

Volume 2 — 4 Cases | 15+ Hours

Focus: Complex secondary reconstruction & revision strategies

1. 35-year-old female
   Irregular dorsum, inverted-V, thin skin, residual septal deviation

2. 27-year-old male
   Crooked, saddled, overshortened nose with thick skin

3. 45-year-old female (tertiary case)
   Deviated nose, open roof, destructured asymmetric tip

4. 42-year-old male
   Columellar necrosis sequelae, skin loss, nasal base asymmetry

📂 Included Files (HD Streaming)

• 8 full operative case videos

• Over 30 hours of real, unedited surgical footage

• Total size: 74.1 GB

✅ Why This Course

• 100% real live surgery

• Focused entirely on secondary rhinoplasty with rib

• Advanced, algorithm-based surgical decision-making

• Ideal for surgeons managing high-complexity revision cases

• Emphasis on both function and aesthetics