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 • ADVANCED RHINOPLASTY SERIES • 2026

Primary & Revision Rhinoplasty
+ Nasal Reconstruction

Volumes 1–3 • Ziad Katrib, MD

An extensive operative video series progressing from primary structural rhinoplasty
to complex revision surgery and advanced forehead-flap nasal reconstruction.


3 VOLUMES


10 SURGICAL CASES


23+ HOURS


HD VIDEO + SUBTITLES + AUDIO



THE 3-VOLUME SURGICAL JOURNEY

From Primary Rhinoplasty
to Complex Nasal Reconstruction

VOLUME 01

Primary Rhinoplasty

4 Cases • 8+ Hours

A structural approach to natural and functional results, including septoplasty,
dorsal modification, osteotomies, grafting, tip reshaping and complex primary reconstruction.

VOLUME 02

Revision Rhinoplasty

3 Cases • 9+ Hours

A systematic approach to previously operated and structurally compromised noses,
with rib grafting, dorsal augmentation, septal reconstruction and complete tip reconstruction.

VOLUME 03

Forehead Flap Nasal Reconstruction

3 Cases • 6+ Hours

Advanced management of large nasal defects using two-stage, three-stage
and four-stage forehead-flap reconstructive strategies.



PROGRAM OVERVIEW

23+ Hours of Detailed Operative Education

The Primary & Revision Rhinoplasty and Nasal Reconstruction,
Volumes 1–3
collection is a comprehensive surgical video series
featuring Ziad Katrib, MD.

Across 10 detailed operative cases, the program demonstrates
surgical planning, structural principles, operative decision-making, grafting,
aesthetic refinement, functional restoration and complex nasal reconstruction.

Rather than focusing on isolated surgical maneuvers, the three-volume series
shows the progression of increasingly complex nasal surgery—from primary cases,
through challenging revision surgery, to multistage reconstruction of major nasal defects.



WHAT IS INCLUDED?

Complete Operative Learning Collection

✓ 3 Complete Volumes
✓ 10 Detailed Surgical Cases
✓ 23+ Hours of Operative Video
✓ HD Surgical Videos
✓ English Subtitles
✓ Audio Included



VOLUME 01 • PRIMARY

Primary Rhinoplasty

A Structural Approach to Natural and Functional Results
4 CASES   •   8+ HOURS

Volume 1 explores a structural approach to primary rhinoplasty with emphasis
on achieving natural aesthetic and functional outcomes while maintaining
long-term structural integrity.

Key Operative Concepts

Nasal analysis
Septoplasty
Dorsal hump reduction
Osteotomies & bony pyramid narrowing
Donor rib spreader graft reconstruction
Septal extension grafting
Advanced tip reshaping
Structural support & reconstruction

4 Operative Cases

CASE 01

Crooked wide dorsum, very large dorsal hump, deviated septum and bulbous tip.


Component dorsal reduction • Osteotomies • Septoplasty • Septal spur removal •
Midvault reconstruction • Donor rib spreader grafts • Septal extension graft •
Tip refinement • PRF camouflage

CASE 02

Facial and nasal asymmetry, large dorsal hump, thin skin, deviated septum
and plunging nasal tip.


Dorsal reduction • Osteotomies • Full septoplasty • Rib spreader grafts •
Lateral crural steal • Medial crural overlap • Cranial tip suturing • PRF camouflage

CASE 03

Wide nasal bones, dorsal hump, low radix, extremely wide bulbous tip and deviated septum.


Hump reduction • Precise osteotomies • Bony pyramid narrowing • Septoplasty •
Rib spreader graft • Tip sutures • Radix graft

CASE 04 • COMPLEX RECONSTRUCTION

Subtotal septal perforation, severe cocaine-nose deformity and saddle nose.


Extreme saddle-nose correction • 7th, 8th & 9th rib harvest •
Absent caudal septum reconstruction • Nasal vestibular release •
Structural rib grafting • Tip suturing • Diced rectus fascia



VOLUME 02 • REVISION

Revision Rhinoplasty

A Systematic Approach to Consistent Results
3 CASES   •   9+ HOURS

Volume 2 moves into challenging revision rhinoplasty, focusing on restoring
structural support, airway function and natural nasal form in previously
operated and compromised noses.

REVISION SURGERY FOCUS

Rib harvest • Structural grafting • Dorsal augmentation • Septal reconstruction •
Tip reconstruction • External valve reconstruction • Camouflage techniques

Case 01 — Saddle Nose & Tip Reconstruction

42-year-old patient with saddle nose, severe columellar and nostril asymmetry,
pollybeak deformity and wide flat tip.

7th & 9th rib harvest • Rectus fascia • Full septoplasty • Septal extension graft •
Raised spreader grafts • Saddle-nose correction • Complete tip reconstruction •
Lateral crural replacement grafts • Bridge and tip camouflage

Case 02 — Short Nose & Overrotated Tip

Revision of a short nose with crooked nasal bones, overrotation,
retracted columella and low upper dorsum.

Rib harvest • Asymmetric osteotomies • Extended spreader grafts •
Septal extension graft • Lateral crural strut grafts • External valve reconstruction •
Dorsal augmentation • Ultra-diced fascia and cartilage

Case 03 — Extreme Saddle-Nose Reconstruction

Advanced revision surgery for extreme saddle nose, wide nasal bones,
severe tip overrotation and retracted columella.

8th & 9th rib harvest • Bony pyramid movement • Power tools •
Absent caudal and dorsal septum reconstruction • Septal replacement graft •
Maximal tip derotation • Total tip reconstruction • Midvault camouflage



VOLUME 03 • RECONSTRUCTION

Forehead Flap Nasal Reconstruction

Principles & Practice
3 CASES   •   6+ HOURS

Volume 3 focuses on large and complex nasal defects, demonstrating staged
forehead-flap reconstruction, structural grafting, airway preservation,
nasal lining reconstruction and contour restoration.

STAGED RECONSTRUCTION

TWO-STAGE   →   THREE-STAGE   →   FOUR-STAGE

Case 01 — Three-Stage Paramedian Forehead Flap

Full-thickness reconstruction following a large defect involving the nasal tip,
dorsum and soft triangles.

STAGE 1
Rib cartilage • Tip support • Columellar strut • Tip sutures •
Alar rim grafting • Full-thickness forehead flap
STAGE 2
Flap re-elevation • Substructure thinning • Tip-definition refinement • Tacking sutures
STAGE 3
Pedicle management • Eyebrow management • Further thinning • Final flap inset

Case 02 — Four-Stage Folded Forehead Flap

Complex reconstruction involving the nasal tip, lower dorsum and a full-thickness
defect of the nasal ala.

STAGE 1 — Rib reconstruction + folded forehead flap + nasal lining reconstruction
STAGE 2 — Flap re-elevation + cartilage reconstruction + thinning
STAGE 3 — Pedicle management + flap inset + nostril preservation
STAGE 4 — Alar crease recreation + contour refinement + final shaping

Case 03 — Two-Stage Nasal Tip Reconstruction

Reconstruction of a nasal tip defect involving more than 50% of the nasal tip.

STAGE 1 — Tip subunit principle • Tip suturing • Thin forehead flap • Complete tip replacement
STAGE 2 — Pedicle management • Superior flap thinning • Final reconstruction



SURGICAL TECHNIQUE LIBRARY

Techniques Demonstrated Across the Series

Primary Structural Rhinoplasty
Revision Rhinoplasty
Septoplasty
Dorsal Hump Reduction
Nasal Osteotomies
Rib Cartilage Harvesting
Spreader Grafts
Septal Extension Grafts
Caudal & Dorsal Septal Reconstruction
Saddle-Nose Reconstruction
Tip Reconstruction & Suturing
Lateral Crural Reconstruction
External Nasal Valve Reconstruction
Dorsal Augmentation
Rectus Fascia & Perichondrial Grafting
Nasal Lining Reconstruction
Alar Batten & Rim Grafts
2-, 3- & 4-Stage Forehead Flap Reconstruction



WHO IS THIS SERIES FOR?

Advanced Operative Education for Nasal Surgery

Plastic Surgeons
Facial Plastic Surgeons
Rhinoplasty Surgeons
Reconstructive Surgeons
Otolaryngologists / ENT Surgeons
Plastic & Facial Plastic Surgery Fellows
Residents Interested in Rhinoplasty & Nasal Reconstruction



WHY THIS SERIES STANDS OUT

Not One Operation.
A Complete Progression of Nasal Surgery.

The series begins with primary structural rhinoplasty,
advances into complex revision rhinoplasty, and concludes
with multistage forehead-flap nasal reconstruction.

This progression provides exposure not only to individual techniques but also
to surgical analysis, planning, structural reconstruction and intraoperative
decision-making across increasingly challenging cases.

PRIMARY — Build structural foundations
REVISION — Reconstruct compromised anatomy
RECONSTRUCTION — Restore complex nasal defects



PRIMARY • REVISION • RECONSTRUCTION

Analyze the Nose.
Rebuild the Structure.
Master Complex Reconstruction.

An extensive three-volume operative series covering primary structural rhinoplasty,
advanced revision surgery and staged forehead-flap nasal reconstruction.

3 VOLUMES   •   10 CASES   •   23+ HOURS

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