Overview

In this two-volume rhinoplasty video series, Dr. L. Mike Nayak shares his systematic approach to the full spectrum of challenges facing rhinoplasty surgeons today — from soft cartilage with thick skin to strong, bulbous cartilage with thin skin, covering defects of dorsal width, projection, and nasal axis. Each case begins with a thorough analysis of nasal aesthetics and anatomy, followed by surgical plan formulation. Using open techniques for maximum visibility, Dr. Nayak then demonstrates a logical, stepwise, and reproducible correction — focusing on predictable, stable, and functional results. Each case has been selected for its particularly unique challenges, while sharing a consistent foundational approach throughout.

🔧 Techniques Demonstrated Across Both Volumes

• SubSMAS and subperichondrial nasal dissection
• Open septoplasty
• Hump reduction through rasping and osteotomy
• Intranasal, percutaneous, and root osteotomies
• Middle vault reconstruction via spreader grafts and autospreader turn-in flaps
• Tip support through lateral crural steal, columellar strut, septal tongue-in-groove, and caudal septal extension graft techniques
• Modification of tip dynamics by cephalic and caudal trims, autorim grafts, suture techniques, and interrupted strip techniques
• Management of lateral crural convexity — with and without lateral crural transposition and alar batten underlay grafts
• Fine tuning of contours with shaved and crushed cartilage grafts

👨‍⚕️ Who Should Watch This

• Plastic surgeons and facial plastic surgeons building or refining rhinoplasty skills
• ENT surgeons expanding into aesthetic rhinoplasty
• Residents and fellows preparing for independent rhinoplasty practice
• Experienced surgeons seeking exposure to a systematic, reproducible approach to complex primary cases

❓ Frequently Asked Questions