Enrico Robotti, MD – Rhinocraft 2026: Advanced Hybrid & Rib Rhinoplasty

Advanced Primary, Revision & Reconstructive Rhinoplasty

Rhinocraft 2026: The Hybrid & Rib Edition is an advanced surgical education program featuring Enrico Robotti, MD, with 6 complete operative cases and more than 21 hours of detailed surgical video.

The course provides an in-depth view of Dr. Robotti’s contemporary approach to open rhinoplasty, integrating structural rhinoplasty, preservation principles, advanced tip surgery, functional correction, and rib cartilage reconstruction.

Rather than presenting isolated techniques, Rhinocraft follows complete procedures from surgical planning and exposure through reconstruction and final contour refinement, allowing viewers to observe technique selection and intraoperative decision-making across both primary and challenging revision cases.

Course Includes

• 6 complete surgical cases
• 21+ hours of operative video
• HD surgical demonstrations
• SRT subtitle files
• 3 primary rhinoplasty cases
• 3 complex revision/reconstructive cases
• Hybrid structural + preservation techniques
• Advanced rib cartilage reconstruction
• September 2026 edition

What You’ll Learn

The operative demonstrations provide detailed exposure to advanced techniques including:

• Hybrid structural and preservation rhinoplasty
• Cartilaginous push-down techniques
• Full and modified let-down approaches
• High-strip dorsal reduction
• Partial bony-cap preservation
• Dorsal sculpturing and osteoplasty
• Subperichondrial and subperiosteal dissection
• Three-Point Compartmentalization Technique
• Sublaminar septal dissection
• Septal fusion sling suspension
• Structural tip modification
• Septal extension grafting
• Piezoelectric osteotomies and osteoplasty
• Septoplasty and turbinate management
• Piezo turbinoplasty
• Rib cartilage harvesting and preparation
• Rib shaping and laminating
• L-strut reconstruction
• Lateral crural reconstruction
• Revision dorsal and tip dissection
• Transosseous suturing
• SPF-SPLF graft constructs
• Rib “plaster” contour refinement
• Preservation concepts in secondary rhinoplasty

Primary Rhinoplasty

Three complete primary cases demonstrate how preservation and structural techniques can be combined according to individual anatomy.

The procedures address challenging findings such as dorsal humps, asymmetry, wide or bulbous tips, excessive projection, tip ptosis, septal deviation, and functional obstruction.

Viewers can follow the integration of dorsal preservation, piezoelectric instrumentation, osteoplasty, osteotomies, septal correction, and structural tip techniques within complete operative workflows.

Revision Rhinoplasty & Rib Reconstruction

Three complex secondary and tertiary rhinoplasty cases focus on reconstructive surgery and the strategic use of costal cartilage.

Dr. Robotti demonstrates rib harvesting, preparation, shaping, and laminating, followed by its application to demanding reconstructive problems.

Techniques include:

• Complete L-strut reconstruction
• Rib septal extension grafts
• Extended spreader grafts
• Lateral crural strut grafts
• Perichondrium grafting
• Complex tip reconstruction
• SPF-SPLF dorsal constructs
• Dorsal contour restoration

The emphasis is on achieving structural support and controlled contour while avoiding unnecessary graft bulk.

Six Complete Operative Cases

Case 1 — Primary Rhinoplasty | 47-Year-Old Female

Management of dorsal asymmetry, contour irregularities, marked tip bulbosity, dorsal hump, excessive projection, and functional concerns.

Demonstrated techniques include modified dorsal split, osteoplasty, high-strip dorsal reduction, cartilaginous push-down, septoplasty, septal fusion sling, medial crural modification, lateral crural transposition, dome-refining sutures, columellar strut, and alar contour grafting.

Case 2 — Primary Rhinoplasty | 27-Year-Old Female

Treatment of a dorsal hump, excessive nasal volume, and broad tip.

Techniques include modified dorsal split, osteoplasty, sublaminar septal dissection, high-strip dorsal reduction with partial bony-cap preservation, three-point compartmentalization, septal extension grafting, fusion sling, LLC slide-under, lateral crural steal, dome-defining sutures, and alar wedges.

Case 3 — Primary Rhinoplasty | 34-Year-Old Female

A thin-skin case involving dorsal hump, drooping tip, and septal deviation.

The procedure demonstrates modified dorsal split, osteoplasty, sublaminar septal dissection, high-strip full let-down, three-point compartmentalization, double septal extension grafting, fusion sling, LLC turn-under, lateral crural steal, diced cartilage, and alar wedges.

Case 4 — Secondary Rhinoplasty | 22-Year-Old Male

Complex reconstruction involving severe tip deformity, open roof, dorsal saddling, pollybeak, and major functional concerns.

The operation includes burr osteoplasty, selective piezoelectric osteotomies, complete rib L-strut reconstruction, multiple tip grafts, perichondrium grafting, and SPLF dorsal reconstruction.

Case 5 — Tertiary Rhinoplasty | 33-Year-Old Female

Advanced revision addressing tip overprojection, severe overrotation, alar retraction, and dorsal saddling.

Techniques include septal lengthening, complete L-strut reconstruction, rib extended spreaders, vertical-element fixation, lateral crural reconstruction, interpositional grafting, perichondrium tip grafting, and SPLF dorsal reconstruction.

Case 6 — Post-Septoplasty Rhinoplasty | 41-Year-Old Male

Management of tip drop, axis deviation, and significant functional concerns following previous septal surgery.

The case demonstrates osteoplasty, Cottle septoplasty, complete L-strut reconstruction with laminated rib grafts, modified dorsal split, Spare Roof Type B dorsal reduction, septal extension grafting, and advanced tip suturing.

Who Is This Course For?

This advanced surgical program is designed primarily for:

• Plastic surgeons
• Facial plastic surgeons
• Otolaryngologists / ENT surgeons
• Aesthetic surgeons
• Rhinoplasty specialists
• Plastic surgery and ENT residents
• Fellows seeking advanced rhinoplasty education

Why This Course Stands Out

Complete Cases, Not Isolated Clips
Follow six operations through the surgical workflow and observe how individual techniques are combined in real cases.

21+ Hours of Operative Education
Extended surgical footage provides detailed exposure to dissection, reconstruction, instrumentation, and operative decision-making.

Primary + Complex Revision Surgery
Study both preservation-oriented primary rhinoplasty and demanding secondary/tertiary reconstruction.

Advanced Rib Cartilage Techniques
Observe costal cartilage harvesting, preparation, laminating, structural reconstruction, and contour refinement.

Hybrid Rhinoplasty Philosophy
See how preservation concepts and structural techniques can be selectively combined according to anatomy and reconstructive requirements.