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By Enrico Robotti, MDDr. Robotti performs six surgeries as part of the 2018 Live Surgery Open Rhinoplasty Course. Step-by-step operative technique from markings to closure and postoperative dressing is included in each case, supplemented with clinical photos, CT scans, and 3D renderings. Viewers will benefit from technical pearls regarding the use of power tools and piezo, as well as the complete details of rib grafting for secondary reconstruction with finesse. Surgeon comments and Q&A between surgeon and audience enhance the educational value of this video collection.Case 1Primary, 25-year-old female, hyperprojected tension nose with hump, wide tip, septal deformity. Cartilaginous pushdown procedure demonstrated.Case 2Primary, 37-year-old female, thin skin, deviated nose, tip asymmetry, infratip excess, contour irregularities, external valve insufficiency, septal deformity.Case 3Primary, 32-year-old female, bulbous tip with malposition, septal deformity. Cartilaginous pushdown procedure demonstrated.Case 4Quaternary, 32-year-old female, deviated nose with open roof, multiple tip deformities with asymmetry, severe saddling, pollybeak, residual septal deformities. Rib grafting demonstrated.Case 5Secondary, 29-year-old male, following trauma and rhinoseptoplasty, crooked nose with multiple contour deformities, severe saddling, tip and infratip deformities, septal deformities. Rib grafting demonstrated.Case 6Secondary, 47-year-old female, crooked wide nose with bony asymmetries, hump, saddling, residual septal deformities. Rib grafting demonstrated