Presenter: Edwin F. Williams, III, MD - Moderator: Grace Lee Peng, MD 

The Endonasal Approach to Rhinoplasty has been used for decades. In the early years this approach was associated with a more reductive rhinoplasty and sequelae resulting in this becoming a less favored approach by those who are advocates for the Open Structure Approach which has its shortcomings. Dr. Williams’ presentation emphasizes the concept of Structural Rhinoplasty using the Endonasal Approach by employing grafting and suture techniques to accomplish the same goals with limited dissection and trauma to the nasal skeleton. Videos are included to show the details of the discussed and relevant surgical maneuvers so as to assist with understanding. 

Presenter: Holger G. Gassner, MD

Dr. Gassner will also discuss the "S.O.F.T. Concept" in rhinoplasty, which was developed to minimize trauma, shorten recovery, maintain a naturally soft nasal tip, and preserve the skeletal and soft tissue elements of the nose. Representative cases will be shown to elucidate endonasal solutions to the entire spectrum of deformities and functional aspects of the nose.

Moderator: Sherard A. Tatum, III, MD / Panelists: Matthew D. Johnson, MD,  Andrew B. Johnson, MD, Ryan D. Winters, MD and Lisa M. Morris, MD

The management of cleft lip and/or palate abnormalities requires a multidisciplinary approach, well-defined algorithms for age-appropriate reconstructions, and skilled Facial Plastic and Reconstructive Surgeons capable of treating not only the initial lip and palate repairs but also the secondary reconstructions and any complications. This expert panel will discuss the surgical management of secondary disorders including fistula repair, cleft septorhinoplasty, alveolar bone grafting, and surgical treatment of velopharyngeal dysfunction. 

Presenter: Brian F.J. Wong, MD, PhD

Nasal tip aesthetics are complex and sublime. Correction of nasal tip deformities and creation of an attractive nasal tip is a challenge particularly along the alar lobule and soft triangle facet. This presentation will focus on surgical maneuvers to optimize both functional and cosmetic elements of this particularly challenging area of nasal tip anatomy.

Presenter: Umang Mehta, MD

Dr. Umang Mehta, MD covers a seven-step algorithm for a consistent, aesthetically pleasing and functional nasal tip in rhinoplasty. The steps include: Caudal Septal Extension/Replacement Grafts, Septocolumellar Suture Placement, Cephalic Trims, Cranial Tip Sutures, Lateral Crural Spanning Sutures, the Free Nasal SMAS Graft, and Premaxillary Grafts. 

Presenter: Sam P. Most, MD

The incorporation of dorsal preservation into existing open structure rhinoplasty methods will be examined.  Variations in the methods will be explained and the methods will be reviewed with case examples and videos.  Outcomes measurements will be included.  Comparison to standard Joseph reduction will be reviewed.

Presenter: Richard D. Gentile, MD

Dr. Gentile has developed a new approach to the deep plane using Ultrasonic dissection that permits easy dissection of the facial deep plane and a complete deep plane and subplatysmal dissection that releases all posterior platysmal retaining ligaments. This technique has been used in close to 100 patients with excellent results and low complications. The technique is currently in press in the Facial Plastic Surgery Journal.

Presenter: Neil A. Gordon, MD

The webinar will present the foundation of facial aging based on multiple published studies on the etiology of facial aging by Neil A Gordon, MD and segue in the second presentation to the concepts of deep-plane rhytidectomy. As one of the pioneers of this technique the academic validity as well as the technique for novices as well as the advancements and nuances for experienced practitioners that created there vertical platysma advancement will be defined in detail.

Presenter: Andrew A. Jacono, MD

Includes anatomic description of the fixed and mobile SMAS. Unlike lateral SMAS facelift flap procedures (high or low), the extended deep plane facelift enters the sub-SMAS plane medially at the mobile SMAS giving it a biomechanical advantages when lifting the anterior midface and jowl soft tissue ptosis. Integral to this procedure is release of four key retaining ligaments in the face and neck, the zygomatic cutaneous, masseteric cutaneous, mandibular cutaneous, and cervical retaining ligaments. Once released, the composite deep plane flap is repositioned in a vertical vector to volumize the midface and gonial angle along the jawline. Important anatomic considerations during the deep plane dissection are discussed. In the midface, these include the fixed and mobile SMAS, zygomatic and masseteric cutaneous ligaments, facial fat compartments, and facial nerve. In the neck, focus is on extending the deep plane dissection of the platytsma, releasing the cervical retaining ligaments. This course will also discuss modification in platysma myotomies that improve jawline contour, and re-draping the composite deep plane flap to volumize the midface and gonial angle which atrophy with age, thus improving the cheek and jawline contour.  Data on longevity and efficacy will be presented based upon cohort studies of over 1000 patients.  

Moderator: Deborah Watson, MD / Panelists: J.Randall Jordan, MD, Jacqueline Green, MD and Ryan K. Orosco, MD

To ensure residents receive essential education, we’re bringing our ever-popular Essentials in Facial Plastic Surgery Course to you virtually. Don’t miss this comprehensive review of the art and science of our specialty. Taught by experienced physicians and masters of the craft, this course is designed specifically for otolaryngology residents and covers all aspects of Facial Plastic and Reconstructive Surgery.