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

6 Complete Operations • 21+ Hours • Primary, Revision & Rib Reconstruction

Rhinocraft 2026: The Hybrid & Rib Edition presents an extensive operative study of contemporary rhinoplasty with Enrico Robotti, MD, covering the spectrum from primary aesthetic and functional surgery to demanding secondary and tertiary reconstruction.

Across six complete surgical cases and more than 21 hours of HD operative footage, Dr. Robotti demonstrates how preservation principles, structural techniques, piezoelectric surgery, advanced tip modification, and costal cartilage reconstruction can be selectively combined according to the anatomy and requirements of each case.

The collection includes three primary rhinoplasties and three complex revision/reconstructive procedures, allowing viewers to compare operative strategies across very different clinical presentations.

Rather than separating individual maneuvers into short demonstrations, each operation is followed as a complete surgical process—from assessment and exposure through dorsal modification, septal work, tip reconstruction, grafting, osteotomies, and final contour refinement.

Inside Rhinocraft 2026

6 Complete Surgical Procedures
Three primary cases plus three advanced revision and reconstructive cases.

21+ Hours of Operative Footage
Extended HD demonstrations showing complete surgical workflows and detailed technical execution.

Hybrid Rhinoplasty Techniques
Structural and preservation concepts applied selectively rather than through a single standardized approach.

Advanced Rib Reconstruction
Costal cartilage harvesting, preparation, shaping, laminating, and reconstruction demonstrated in challenging revision cases.

Subtitles Included
SRT subtitle files accompany the surgical video collection.

2026 Edition
A September 2026 surgical education release focused on current hybrid and reconstructive approaches.

From Preservation to Reconstruction

Hybrid Structural & Preservation Rhinoplasty

A central theme throughout Rhinocraft is the integration of preservation-oriented surgery with structural rhinoplasty.

The primary cases demonstrate multiple approaches to dorsal management, including:

• Cartilaginous push-down
• Full and modified let-down
• High-strip dorsal reduction
• Partial bony-cap preservation
• Dorsal sculpturing
• Osteoplasty
• Modified dorsal split
• Three-Point Compartmentalization Technique

The cases illustrate how dorsal strategy can be adapted rather than applying the same technique to every nasal anatomy.

Septal Surgery & Functional Correction

Septal management forms an important component of both primary and revision procedures.

Operative demonstrations include:

• Sublaminar septal dissection
• Septoplasty
• Cottle septoplasty
• Septal fusion sling suspension
• Septal extension grafting
• Double septal extension grafting
• L-strut reconstruction
• Turbinate management
• Piezo turbinoplasty

These techniques are shown within the context of complete operations, allowing viewers to observe their relationship with dorsal, tip, and functional correction.

Advanced Tip Surgery

The six procedures demonstrate multiple strategies for controlling tip projection, rotation, definition, and structural stability.

Techniques include:

• Structural tip modification
• Medial crural modification
• Lateral crural transposition
• Lateral crural steal
• LLC slide-under
• LLC turn-under
• Dome-defining and dome-refining sutures
• Columellar struts
• Septal extension grafts
• Alar contour grafts
• Lateral crural reconstruction

Piezoelectric Rhinoplasty

Piezoelectric instrumentation is incorporated into selected cases for controlled bony modification.

Viewers can observe:

• Piezoelectric osteotomies
• Piezo osteoplasty
• Selective bony modification
• Dorsal sculpturing
• Turbinoplasty

The Rib Reconstruction Series

The three revision cases move the program into considerably more complex reconstructive territory.

Previous operations may leave limited septal cartilage, distorted anatomy, scarred tissue planes, loss of structural support, dorsal irregularity, or significant tip deformity.

In these cases, costal cartilage becomes a major reconstructive resource.

Dr. Robotti demonstrates the process from harvesting and preparation through shaping, laminating, fixation, and final contour refinement.

Rib Techniques Demonstrated

• Costal cartilage harvesting
• Rib preparation and carving
• Laminated rib constructs
• Complete L-strut reconstruction
• Rib septal extension grafts
• Extended spreader grafts
• Lateral crural strut grafts
• Vertical-element reconstruction
• Perichondrium grafting
• SPF-SPLF constructs
• Rib “plaster” contour refinement
• Complex dorsal reconstruction

The emphasis throughout these cases is not simply on adding graft material, but on rebuilding structural relationships while controlling graft dimensions and external contour.

Six Operations. Six Different Problems.

Case 01 | Primary Rhinoplasty

47-Year-Old Female

A primary procedure addressing dorsal asymmetry, contour irregularity, marked tip bulbosity, dorsal hump, excessive projection, and functional concerns.

Operative Highlights

Modified dorsal split • Osteoplasty • High-strip dorsal reduction • Cartilaginous push-down • Septoplasty • Septal fusion sling • Medial crural modification • Lateral crural transposition • Dome refinement • Columellar strut • Alar contour grafting

Case 02 | Primary Rhinoplasty

27-Year-Old Female

A hybrid preservation and structural approach for dorsal hump, excessive nasal volume, and a broad tip.

Operative Highlights

Modified dorsal split • Osteoplasty • Sublaminar septal dissection • High-strip reduction • Partial bony-cap preservation • Three-point compartmentalization • Septal extension graft • Fusion sling • LLC slide-under • Lateral crural steal • Dome-defining sutures • Alar wedges

Case 03 | Primary Rhinoplasty

34-Year-Old Female

A thin-skin primary case addressing dorsal hump, tip ptosis, and septal deviation.

Operative Highlights

Modified dorsal split • Osteoplasty • Sublaminar septal dissection • High-strip full let-down • Three-point compartmentalization • Double septal extension graft • Fusion sling • LLC turn-under • Lateral crural steal • Diced cartilage • Alar wedges

Case 04 | Secondary Reconstructive Rhinoplasty

22-Year-Old Male

A demanding secondary reconstruction involving severe tip deformity, open roof, dorsal saddling, pollybeak, and significant functional concerns.

Operative Highlights

Burr osteoplasty • Selective piezo osteotomies • Complete rib L-strut reconstruction • Advanced tip grafting • Perichondrium grafting • SPLF dorsal reconstruction

Case 05 | Tertiary Reconstructive Rhinoplasty

33-Year-Old Female

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

Operative Highlights

Septal lengthening • Complete rib L-strut reconstruction • Extended rib spreaders • Vertical-element fixation • Lateral crural reconstruction • Interpositional grafting • Perichondrium tip grafting • SPLF dorsal reconstruction

Case 06 | Post-Septoplasty Rhinoplasty

41-Year-Old Male

A reconstructive case addressing tip drop, axis deviation, and functional concerns following previous septal surgery.

Operative Highlights

Osteoplasty • Cottle septoplasty • Laminated rib L-strut reconstruction • Modified dorsal split • Spare Roof Type B dorsal reduction • Septal extension graft • Advanced tip suturing

Surgical Techniques Covered

The complete collection provides operative exposure to:

Dorsum

• Preservation dorsal surgery
• Push-down and let-down techniques
• High-strip reduction
• Partial bony-cap preservation
• Osteoplasty
• Piezoelectric osteotomies

Septum & Function

• Sublaminar dissection
• Septoplasty
• Septal fusion sling
• Septal extension grafting
• Turbinate management
• L-strut reconstruction

Tip

• Structural tip modification
• Crural repositioning
• Dome suturing
• Projection and rotation control
• Alar contour modification

Revision & Reconstruction

• Scarred revision dissection
• Costal cartilage reconstruction
• Extended spreader grafts
• Lateral crural reconstruction
• Perichondrium grafting
• SPF-SPLF constructs
• Dorsal reconstruction and contour refinement

What’s Included

🎥 21+ Hours of HD Operative Video

🩺 6 Complete Surgical Cases

3 Primary Rhinoplasty Procedures

3 Revision / Reconstructive Procedures

Hybrid Structural + Preservation Techniques

Advanced Rib Cartilage Reconstruction

Detailed Dorsal, Septal & Tip Surgery

Piezoelectric Techniques

💬 SRT Subtitle Files

📅 September 2026 Edition

Designed for Advanced Rhinoplasty Education

Rhinocraft 2026 is intended primarily for:

• Plastic Surgeons
• Facial Plastic Surgeons
• Rhinoplasty Surgeons
• Otolaryngologists / ENT Surgeons
• Aesthetic Surgeons
• Plastic Surgery and ENT Fellows
• Residents studying advanced rhinoplasty techniques

A Complete Operative Study of Modern Rhinoplasty

What distinguishes Rhinocraft 2026 is its range.

The primary cases explore how preservation and structural methods can coexist within a hybrid surgical philosophy. The revision cases then demonstrate how those principles evolve when surgeons encounter altered anatomy, compromised structural support, previous septal surgery, and the need for extensive reconstruction.

From dorsal preservation and advanced tip control to complete rib L-strut reconstruction, the program provides a detailed case-based view of contemporary primary and revision rhinoplasty through six complete operations and more than 21 hours of surgical footage.

6 Complete Cases | 21+ Hours | Primary + Revision | Hybrid + Rib Reconstruction