AESTHETIC SURGERY SYMPOSIUM36TH

Debating The Choices in Rhinoplasty

2016

THE WALDORF ASTORIA HOTEL NEW YORK, NEW YORK DECEMBER 1, 2, 3, 2016

COURSE CHAIRMEN

SHERRELL J. ASTON, MD DANIEL C. BAKER, MD DEAN M. TORIUMI, MD

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WEDNESDAY, NOVEMBER 30, 2016 3:00–7:00 Pre-Registration in the West Lounge

THURSDAY, DECEMBER 1, 2016

Registration in the East Foyer and General Session in the Grand Ballroom The Astor, Basildon and Jade Exhibit Halls are open all day

6:00–7:00 Continental Breakfast Served in Exhibit Halls

6:50–7:00 Welcome and Introductory Remarks

Sherrell J. Aston, MD, Daniel C. Baker, MD, Dean M. Toriumi, MD

THE FUTURE OF MINIMALLY INVASIVE AND NON-SURGICAL RHINOPLASTY

Moderators: Daniel C. Baker, MD and Sherrell J. Aston, MD

7:00-7:10 Fillers and Neurotoxins to Correct Nasal Deformities: Indications and Duration

Rod J. Rohrich, MD

7:10-7:25 Fat Rhinoplasty: Improving and Rejuvenating the Nose Using Autologous Fat

Timothy J. Marten, MD

7:25-7:45 Aesthetic and Anatomical Analysis for Predictable Results Utilizing Superficial and Deep Volume Fat and Fillers in the Nose

Arthur Swift, MD

7:45-8:15 Panel: Injectable Fillers and Fat in the Nose Moderator: Sherrell J. Aston, MD

Panelists: Daniel Baker, Roxana Cobo, MD, David Kim, MD Timothy Marten, MD, Rod Rohrich, MD, Arthur Swift, MD

PERFECTING THE NASAL AESTHETIC BALANCE

8:15-8:25 Profile Concepts and Alignment: When to Reduce and When to Augment

Mark B. Constantian, MD

8:25-8:35 New Concepts in Osteotomies and Bone Reshaping in Rhinoplasty

Olivier Gerbault MD

8:35-8:45 Essential Principles in Surgery of the Dorsum

Enrico Robotti, MD

8:45–9:45 Panel: Individual Techniques for Profile Alignment and Osteotomies: Five Minute Video Case Presentations Demonstrating Techniques Moderator: Daniel C. Baker

Panelists: Rollin Daniel, MD, Richard Davis, MD, Nabil Fuleihan, MD, Oliver Gerbault, MD, Wolfgang Gubisch, MD, Bahman Guyuron, MD, Mohsen Naraghi, MD, Stephen Perkins, MD, Arthur Swift, MD, Tom Wang, MD

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9:45–10:15 Coffee Served in Astor, Basildon and Jade Exhibit Halls

Moderators: Sherrell J. Aston, MD and Daniel C. Baker, MD

10:55–11:05 Discussion

PRIMARY OPEN AND CLOSED RHINOPLASTY APPROACHES 2016: INTERACTIVE VIDEOS

Moderator: Daniel C. Baker, MD

11:05-11:15 Endonasal Approach for Suture Contouring of the Nasal Tip

Nabil Fuleihan, MD

11:15-11:25 Structural Grafting via the Endonasal Approach

Sherrell J. Aston, MD.

11:25-11:35 External Rhinoplasty Approach: Technical Pearls

Mohsen Naraghi, MD

12:15–1:30 Seated Lunch in the Vanderbilt and Empire Rooms ● Exhibits

11:35-12:15 POINT / COUNTERPOINT Moderator: Dean M. Toriumi, MD

Open Versus Closed

Open Approach: Most Precise, Best Visualization Rod J. Rohrich, MD

Closed Approach: Equally Precise, Less Traumatic, No Scars Mark B. Constantian, MD

Which Secondary Defects are Worse?

Open Approach Deformities are Worse

Pietro Palma, MD

Endonasal Approach Deformities are Worse Russell W. H. Kridel, MD

KEYNOTE PRESENTATION

10:15–10:55 Endonasal Rhinoplasty: More Than an Approach Norman J. Pastorek, MD

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MANAGING THE MIDDLE NASAL VAULT

Moderators: Sherrell J. Aston, MD and Dean M. Toriumi, MD

1:30–1:40 Recreating Dorsal Aesthetic Lines: Graft or Not to Graft

Rod J. Rohrich, MD

1:40-1:50 Spreader Grafts: Method of Choice for Reconstructing the Middle Nasal Vault

David W. Kim, MD

1:50-2:00 Spreader Flaps: Method of Choice for Reconstructing the Middle Nasal Vault

Nazim Cerkes, MD

3:25-3:30 Discussion

3:30–4:00 Coffee Served in Astor, Basildon and Jade Exhibit Halls

4:40-4:55 Video-Presentation: Extracorporeal Septoplasty: Nuances in Technique

Wolfgang Gubisch, MD

4:55-5:00 Discussion

2:00-2:40 POINT / COUNTERPOINT

Spreader Grafts Versus Spreader Flaps Moderator: Sherrell J. Aston, MD

Team Spreader Graft: Nabil Fuleihan, MD, David Kim, MD Team Leader - Russell W. H. Kridel, MD

Team Spreader Flap: Mohsen Naraghi, MD, Richard Davis, MD Team Leader - Rollin K. Daniel, MD

KEYNOTE PRESENTATION

2:40-3:25 Lateral Crural Tensioning and Caudal Septal Extension Grafts Richard E. Davis, MD

KEYNOTE PRESENTATION

4:00-4:40 Comprehensive Management of the Nasal Septum Wolfgang Gubisch, MD

4:35-4:50 Video-Presentation: Extracorporeal Septoplasty: Nuances inTechnique

Wolfgang Gubisch, MD

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5:00-5:50 Panel: Functional Nasal Surgery: Septum, Turbinates and Beyond Moderator: Dean M. Toriumi, MD.

Panelists: Roxana Cobo, MD, David Kim, MD, Jonathan Sykes, MD Pietro Palma, MD, Stephen Perkins, MD, Tom Wang, MD

5:50-6:20 Video-Presentation: Primary Rhinoplasty

Rod J. Rohrich, MD

6:20-6:30 Discussion

FRIDAY, December 2, 2016

Registration ● General Session● Exhibit Halls Open All Day

6:00–7:00 Continental Breakfast Served in Exhibit Halls

CONTROLLING PROJECTION AND CHANGING LENGTH IN PRIMARY RHINOPLASTY

Moderators: Daniel C. Baker, MD and Sherrell J. Aston, MD

7:00–7:10 Endonasal Approach to the Under-Projected Nose

Norman J. Pastorek, MD

7:10–7:20 Managing the Over-Projected Nasal Tip

Stephen W. Perkins, MD

7:20-7:30 Caudal Septal Extension Graft for Controlling Nasal Tip Projection

Jonathan M. Sykes, MD

7:30–7:40 Caudal Septal Transposition Strut: Using Septal Cartilage for Columellar Strengthening and Tip Support

Timothy J. Marten

7:40–7:50 The Integrated Columella Strut: Ten Years of Experience with the Nasal Backbone

Alan Landecker, MD

7:50-8:00 Controlling Nasal Length: Shortening the Long, Lengthening the Short Nose

Bahman Guyuron, MD

8:00–8:45 Panel: Controlling Nasal Tip Projection and Length Five Minute Video Case Presentations Demonstrating Techniques Moderator: Daniel C. Baker, MD.

Panelists: Nazim Cerkes, MD, Yong Ju Jang, MD, Olivier Gerbault, MD, Mohsen Naraghi, MD, Stephen Perkins, MD, Mark Constantian, MD, Timothy Marten, MD

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8:45-8:55 The Bulbous Nasal Tip: Avoiding Visible Grafts in Primary Open Rhinoplasty

Rod J. Rohrich, MD 8:55-9:05 Nasal Tip Grafting: An Essential to Maximize Tip Projection

Tom D. Wang, MD

9:05-9:15 Correction of Lateral Crural Malpositioning

Nazim Cerkes, MD

10:00-10:30 Coffee Served in Astor, Basildon and Jade Exhibit Halls

MANAGING THE ALAR BASE

10:30-11:10 Panel: Managing the Alar Base Five Minute Video Case Presentations Demonstrating Techniques Moderator: Sherrell J. Aston, MD

Panelists: Daniel Baker, MD, Mark Constantian, MD, Rollin Daniel, MD, Russell Kridel, MD, Volney Pitombo, MD Enrico Robotti, MD, Tom Wang, MD,

11:40-11:45 Discussion

12:15-1:30 Seated Lunch in the Vanderbilt and Empire Rooms ● Exhibits

9:15-10:00 CASE BY CASE ANALYSIS

Panel: How I Would Manage This Tip Moderator: Dean M. Toriumi, MD

Panelists: Richard Davis, MD, Wolfgang Gubisch, MD, Bahman Guyuron, MD Pietro Palma, MD, Norman Pastorek, MD, Rod Rohrich, MD,

KEYNOTE PRESENTATION

11:10-11:40 Rhinoplasty Tips and Traps, Salient Points Bahman Guyuron, MD

11:45-12:15 The Dr. Thomas D. Rees Lecture The Privilege of Observing the Young Surgeon

and His Enduring Friendship

Bruno Ristow, MD

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MANAGING SPECIFIC DEFORMITIES: CORRECTING THE DEVIATED / SADDLE NOSE

Moderators: Sherrell J. Aston, MD and Dean M. Toriumi, MD

1:30-1:45 Graduated Approach to Managing the Deviated Nose

Bahman Guyuron, MD

1:45-2:00 Balancing the Asymmetric Nose

Rollin K. Daniel, MD

2:00-2:25 Video-Presentation: Correcting the Deviated Nose

Bahman Guyuron, MD

2:25-2:30 Discussion

2:30-3:30 Panel: Managing the Post-Traumatic Nasal Deformity Moderator: Dean M. Toriumi, MD

Panelists: Mark Constantian, MD, Olivier Gerbault, MD David Kim, MD, Timothy Marten, MD, Jonathan Sykes, MD,

3:30–4:00 Coffee Served in the Astor, Basildon and Jade Exhibit Halls

4:00-4:40 Panel: Deviated Nose and Saddle Nose Deformity Five Minute Video Case Presentations Demonstrating Techniques Moderator: Daniel Baker, MD

Panelists: Alan Landecker, MD, Wolfgang Gubisch, MD, Nazim Cerkes, MD Roxana Cobo, MD, Norman Pastorek, MD, Jonathan Sykes, MD, Tom Wang, MD

4:40-5:10 Special Topic:

Maximizing Nasal Function in Rhinoplasty: Septum versus Lateral Wall. What’s More Important?

Mark B. Constantian, MD

6:00-6:25 Aesthetic Reconstructive Rhinoplasty

Rollin K. Daniel, MD

6:25-6:30 Discussion

KEYNOTE PRESENTATION 5:10-6:00 My Personal Approach to Rhinoplasty:

Rollin K. Daniel, MD

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SATURDAY, DECEMBER 3, 2016

Registration ● General Session ● Exhibit Halls Open to 1:30

6:00–7:00 Continental Breakfast Served in Exhibit Halls

PROFILE ALIGNMENT AND DORSAL AUGMENTATION

Moderators: Sherrell J. Aston, MD and Dean M. Toriumi, MD

7:00-7:10 Irradiated Costal Cartilage: Longevity and Complications Russell W. H. Kridel, MD

7:10-7:20 Diced Cartilage and Fascia for Dorsal Augmentation

Rollin K. Daniel, MD

7:20-7:30 Alloplastic Implants for Dorsal Augmentation

Yong Ju Jang, MD

7:30-8:10 Panel: Dorsal Augmentation: How I Do It: Five Minute Video Case Presentations Demonstrating Techniques Moderator: Sherrell Aston, MD

Panelists: Nazim Cerkes, MD, Nabil Fuleihan, MD, Yong Ju Jang, MD David Kim, MD, Alan Landecker, MD, Volney Pitombo, MD,

9:50–10:00 Discussion

8:10-9:00 POINT / COUNTERPOINT

What is the Best Method to Augment the Nasal Dorsum? Moderator: Daniel C. Baker, MD.

Auricular Cartilage Versus Costal Cartilage

Pietro Palma, MD debating Alan Landecker, MD

Diced Cartilage Versus Solid Cartilage Grafts

Enrico Robotti, MD, Russell W. H. Kridel, MD

Injectable Filler and Fat Versus Cartilage Grafts

Timothy J. Marten debating Wolfgang Gubisch, MD

KEYNOTE PRESENTATION 9:00-9:50 Structure Rhinoplasty: Maximizing Outcomes

Dean M. Toriumi, MD

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10:00-10:30 Coffee Served in Astor, Basildon and Jade Exhibit Halls

ETHNIC RHINOPLASTY

Moderators: Sherrell Aston, MD and Daniel Baker, MD

10:30-10:40 Asian Rhinoplasty

Yong Ju Jang, MD

10:40-10:50 Rhinoplasty in the Black Patient

Russell W. H. Kridel, MD

10:50-11:00 Mestizo Rhinoplasty

Roxana Cobo, MD

INTERACTIVE VIDEO PRESENTATION

11:00-11:30 Video-Presentation Structural Grafting Using Costal Cartilage

Dean M. Toriumi, MD

11:30-12:30 Panel: Managing the Ethnic Nose: Nuances in Management Moderator: Dean M. Toriumi, MD

Panelists: Volney Pitombo, MD, Yong Ju Jang, MD Alan Landecker, MD, Olivier Gerbault, MD, Tom Wang MD

12:30-1:00 Boxed Lunch Served in Grand Ballroom ● Exhibits Open

SECONDARY AND TERTIARY RHINOPLASTY

Moderators: Sherrell Aston, MD and Dean M. Toriumi, MD

1:00-1:10 Nuances and Complexities of Revision Rhinoplasty and Total Lobular Reconstruction

Stephen W. Perkins, MD

1:10-1:20 Treatment of the Retracted Alar Rim

Richard E. Davis, MD.

1:20-1:30 The Key Principles for Successful Secondary Rhinoplasty

Rod Rohrich, MD.

1:30-1:40 Secondary Rhinoplasty: Strategies and Options

Enrico Robotti, MD

1:40-1:50 Composite Grafting in Rhinoplasty: Nuances and Technical Pearls

Dean M. Toriumi, MD

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1:50-2:30 Panel: Difficult Secondary Rhinoplasty Five Minute Video Case Presentations Demonstrating Techniques Moderator: Daniel Baker, MD

Panelists: Richard Davis, MD, Wolfgang Gubisch, MD, Yong Ju Jang, MD Mohsen Naraghi, MD, Rod Rohrich, MD, Dean M. Toriumi, MD

2:30-3:30 Panel: Complex Cases: Pushing the Envelope Moderator: Dean M. Toriumi, MD

Panelists: Mark Constantian, MD, Rollin Daniel, MD Richard Davis, MD, Bahman Guyuron, MD, Wolfgang Gubisch, MD Norman Pastorek, MD, Enrico Robotti, MD, Jonathan Sykes, MD

3:30 Adjourn