Description

Complex revision rhinoplasty and cleft nose correction require advanced reconstructive strategies due to severe scarring, tissue loss, and functional compromise. This presentation focuses on the use of flap techniques combined with dermal and composite grafts to restore lining, support, and external contour. Surgical videos will demonstrate practical applications and pearls from challenging cases.

Outcome Objectives

Participants will learn to:

1. Identify indications for dermal and composite grafts in revision and cleft nose surgery.

2. Understand how local flaps can be combined with grafting for improved function and stability.

3. Apply these principles to achieve natural and long‑lasting results in complex nasal reconstructions.

Background

Traditional techniques are often insufficient in secondary and cleft rhinoplasty. Dermal and composite grafts, together with local flap rearrangements, provide reliable tools to correct asymmetry, improve airway function, and enhance aesthetics. This session will share practical experience to expand the surgeon’s armamentarium in the most demanding nasal cases.

There is a great debate to use structural versus preservation techniques in rhinoplasty. this session will be between pros and cons of these techniques

This study analyzes the anatomical and aesthetic considerations essential for successful septorhinoplasty in Asian patients. Emphasis is placed on structural reinforcement, dorsal augmentation, and tip projection tailored to ethnic nasal characteristics. The aim is to define key surgical principles that achieve natural, balanced, and culturally appropriate outcomes.

Oblique split method has been described by the author for revision rhinoplasty. This method is a versatile tool to avoid warping problem in costal cartilage rhinoplasty. State of the art and recent developments in use of this method will be presented by the author

Aspects of rhinoplasty and what are the technical considerations to get a good long term result will be discussed

Functional problems and correction of these problems are one of the main reasons for patients seeking corrective surgery. This panel especially addresses these issues and speakers will present their solutions to functional problems

Dorsum surgery is one of the main subjects in rhinoplasty. Rhinoplasty has differents components to deal during the surgery and nasal dorsum with bony and cartilage components needs to be dealt with konwledge of anatomy .

Anatomy is not a 2 dimensional structure we need to know 3 dimensional structure of nasal dorsum and be prepeared to deal with this anatomical problems with corresponding techniques and use technical devices such as piezo , drills and classical equipment like rasp,osteotomes and swas

In this lecture we will describe the 3D anatomy of nasal dorsum and approaches to this area with different techniques and equipment