Sixth Bergamo Open Rhinoplasty Course


Throughout the whole program you will find individual segments coded by three colors:
Although there is obviously wide overlap both in this classification and in individual interests irrespective of personal experience, color-coding will help you to best customize your learning track according to your learning requirements. Especially, green-coded sections should not be missed by beginners in rhinoplasty.



Room A (Oggioni)

06.55 – 07.00  Introduction and welcome

07.00 – 10.55  Open Rhinoplasty – THE ESSENTIALS
CHAIRS Segments 1 and 2: Rowe-Jones, Sykes
CHAIRS Segment 3: Daniel, Ghavami

The essential concepts and tools you need in a not-for-beginners-only refresher segment. Starting from an overview of current “anatomy that matters”, progressing to appropriate analysis aided by computer Imaging and patient selection and then understanding the main concepts of open structural rhinoplasty, their logic and their sequence, will help you to advance proficiently throughout the whole course.


  • Anatomy and Dissection videos
  • Consultation, Pre-op Analysis, Morphing and Planning
  • Psychology and Patient Selection
  • Understanding the Procedure and its Progressive Steps in the Standard Case
  • Understanding the Controversial Items which will be highlighted in the days to follow

Room B (Alabastro)

07.00 – 13.00  6 one-hour Masterclasses

Segment 1 – Focus on Current Anatomy and why it matters


07.00 – 07.20 Ingallina – Open Rhinoplasty Anatomy videos: From Cadaver Dissection to Surgical Practice Step-by- Step
07.20 – 07.30 Heppt – Applied surgical anatomy of the nose
07.30 – 07.45 Daniel – The New Nasal Anatomy and its relevance to the days to follow
07.45 – 07.50 Q&A

Segment 2 – Patient Selection and Imaging


07.50 – 08.00 Kosins – Preoperative Analysis and Planning for your first rhinoplasties
08.00 – 08.10 Paun – Photography and Computer Imaging for the rhinoplasty consultation
08.10 – 08.20 Sykes – Why surgeons have trouble saying No to patients?
08.20 – 08.25 Q&A

08.25 – 08.35 Mazzola – Special Topic: “The fascinating history of aesthetic rhinoplasty”

08.35 – 08.55  Rohrich – Keynote Lecture 1: Mastering Open Rhinoplasty – Becoming an Expert


Segment 3 – Understanding the basic steps


09.20 – 09.28 Rowe Jones – Opening and Closing the nose (video)
09.28 – 09.36 Bruschi – Obtaining good proportions in open rhinoplasty
09.36 – 09.44 Ghavami – Selecting the proper Profile: Dorsum and Tip Relationship
09.44 – 09.52 Cobo – Balancing the middle third of the nose using Spreader Grafts and Spreader Flaps: long term results
09.52 – 10.00 Duron – How to Support the Tip
10.00 – 10.08 East – How to create an Aesthetic Tip in primary Rhinoplasty
10.08 – 10.16 Goksel – 10 tricks I often use in rhinoplasty
10.16 – 10.24 Ghavami – Pearls for Dorsal Augmentation
10.24 – 10.32 Celik – Male Rhinoplasty: how to protect masculinity
10.32 – 10.40 Q&A
10.40 – 10.50  Robotti – A prelude to the Course – Primary rhinoplasty procedural clips: logical sequence and recent issues

10.50 – 11.20 Case Analysis Panel
PANELISTS: Apaydin, Calvert, Cerkes, Foda, Ghavami
11.20 – 11.25 Robotti – Appendix to the Panel: Demonstrating the 3D Bergamo Rhinoplasty Software

11.25 – 12.10 Author-commented edited videos – 2 Primary Rhinoplasty full-steps

  • Cerkes – Step-by-Step primary rhinoplasty
  • Rohrich – Step-by-Step primary rhinoplasty / Restoring dorsal aesthetic lines

12.10 – 12.30 Question-Time Panel and Faculty Poll Review 1 – Pre and Postop Care
PANELISTS: Celik, Cobo, Goksel, Rowe Jones, Sykes

12.00 – 14.00  LUNCH AND EXHIBITS

12.30 – 13.00  Room C (Stucchi) – Lunchtime Industry Workshop: 2-D Computer Simulation by digital imaging (hands on)

The format will be “lab-like”, thus a practical hands-on workshop. Attendees are encouraged to bring their own laptops and own cases.
HELD BY: Jim Chekerylla


The purpose of this workshop is to learn to do simple and efficient 2D rhinoplasty simulation. I will initially briefly discuss 2D and 3D simulation in general, digital imaging concepts and the use of simulation for improved patient communication. Then I will demonstrate the use of AlterImage to demonstrate how 2D simulation is performed. Then, each attendee will do simulations of their own patient on their own computer. The instructor will answer questions and provide assistance as needed. Please bring a laptop computer (1), a mouse (2) and patient images (3) to work on. (1) The simulation program you will use is Windows, so Mac users will need to already have installed Parallels or similar on their Mac. (2) The mouse is required. You will not be able to do good simulations using the touchpad. (3) Please bring a profile view of the face and a frontal view of the face so you can perform simulations on each view.

13.00 – 13.30  Room B (Alabastro) – Lunchtime Industry Workshop: All you must know when you consider beginning with piezo in rhinoplasty – 6 years of techniques and instrumentation evolution for ultrasonic rhinoplasty

“The world leading experts in ultrasonic rhinoplasty will detail how to safely begin with piezo surgery in rhinoplasty and how to optimize results and avoid traps.”
HELD BY: O. Gerbault and C. East, A. Goksel, A. Kosins, M. Kovacevic, J. Rowe Jones, V. Zholtikov


An extended subperiosteal bony vault undermining is illustrated: it allows to visualize the whole bony vault, assess the anatomic variations, and treat accurately not only the bony vault width, but also mobilize and orient each bone precisely (with piezo saws), and to sculpt precisely the bones (rhinosculpture) with special rasps or with a scraper. Moreover, with this approach, bone osteosynthesis with sutures can be easily performed for bone stabilization
PEI also allows to lower the hump precisely without opening the middle third (conservative hump removal) by doing osteotomies under direct visual control (in case of “push down”) and ostectomies (in case of “let down”), but also incremental septal trimming with a long piezo saw to allow the bony cartilaginous vault to move downwards.
Piezosurgery in rhinoplasty provides a paradigm shift in reshaping and mobilizing bones, simplifies hump removal and osteotomies, and allows us to achieve a perfectly smooth dorsum and keystone area. The techniques are easy to teach, as everything is done under direct visual control, and easy to perform.


All afternoon sessions will address the DORSUM.  Session 1 will address the key issues, while Session 2 will cover important specifics/hot topics. Not without controversy, new innovative technology and new principles of dorsal preservation will be addressed and discussed. A Dorsum Hot Topics Videopanel will demonstrate both time-established and innovative techniques of managing the bony and middle vault as well as methods for augmenting the dorsum. A “Boxing-Ring” panel will shed light on controversial issues of dorsum management and a Dorsum Techniques Videofocus session will end the day highlighting by the use of short tightly-edited videoclips specific operative details and personal pearls.

13.30 – 14.00  Aiach – Lecture of Honor: Open Rhinoplasty: a life-long journey of learning

14.00 – 15.20 Session 1: Dorsum issues
CHAIRS: Cerkes, Gubisch

  • New Anatomical Concepts
  • Bony Cap and Keystone management
  • Osteotomies
  • Spreader Grafts, Spreader Flaps, Variations


14.00 – 14.10 Palhazi – The Anatomy you have to know (Bony Cap, Keystone, Middle Third)
14.10 – 14.25 Cerkes – Current management of the Nasal Dorsum
14.25 – 14.40 Rohrich – Restoring the Dorsal Aesthetic Lines in primary Rhinoplasty and Precision Osteotomies
14.40 – 14.50 Rowe-Jones – Osteotomies for “closing the roof”
14.50 – 15.00 Kovacevic – Spreader Flaps or Spreader Grafts: Techniques and Traps
15.00 – 15.10 Apaydin – New Spreader Flap/Graft classification
15.10 – 15.20 Q&A

15.20 – 16.25 Session 2: Dorsum specifics/hot topics
DISCUSSANTS: Daniel, Heppt

  • New Technology: Power Tools and Piezo
  • Dorsum preservation techniques
  • Reconstituting/Aligning the Middle Vault


15.20 – 15.30 Daniel – Evolving techniques in dorsum surgery: heading towards a Preservation Rhinoplasty?
15.30 – 15.45 Gerbault – Ultrasonic Rhinoplasty 6 years after: where are we now and what’s the future?
15.45 – 16.00 Racy – Powered Rhinoplasty : 6 years experience. Learning curve and long term results
16.00 -16.10 East – Push down? Let down? Push over?: What are the indications?
16.10 – 16.15 5 min for the Discussants
16.15 – 16.25 Q&A


16.50 – 18.00 Dorsum Hot Topics Videopanel
(5 min video-based presentations in each group followed by 5 min discussion at end of each group)
REVIEWERS: Apaydin, Ghavami


16.50-17.30 Group 1Working on bone and middle third

  • 1) Heppt – Osteotomies with Osteotome and Power Drill
  • 2) Gubisch – What to do when the Keystone Septal Junction breaks
  • 3) Haack – Versatility of the TTC Suture
  • 4) Cerkes – New Simple Tools for bone work
  • 5) Rohrich – Why Spreader Grafts Are Not Needed in most Open Primary Rhinoplasties
  • 6) Zholtikov – Dorsum Preservation without osteotomy
  • 7) Goksel – Open Piezo Let-down technique for lowering the dorsum
  • Discussion by Reviewers (5 min)

17.30- 18.00 Group 2Augmenting the dorsum

  • 1) Cobo – Diced cartilage + Fibrin Glue to augment a low primary dorsum
  • 2) Sykes – Augmenting the dorsum with Diced Cartilage/Glue grafts
  • 3) Ghavami – Dorsal augmentation: No ear, No wrap
  • 4) Apaydin – Radix cocktail
  • 5) Kosins – What dorsums Not to augment
  • Discussion by Reviewers (5 min)

18.00 – 18.45 Dorsum Controversies Boxing-Ring Panel
(2 surgeons pro and 2 against for each topic:  5 min for each opposing duo to state their points, followed by 5 min discussion on each topic) 
TOPICS:  DEGLOVING limited vs full,   OSTEOTOMY / OSTEOPLASTY by power tools vs piezo vs osteotome
REFEREES: Gubisch, Rohrich


  1. DEGLOVING: Heppt, Sykes (limited) vs Goksel, Kovacevic (full)
  2. OSTEOTOMY: Gerbault, East (piezo) vs Calvert, Cerkes (osteotome)
  3. OSTEOPLASTY:  Gerbault, Rowe Jones (piezo) vs Racy, Celik (power)

18.45 – 18.55 Robotti – 5 min for Wrapping the Dorsum up

18.55 – 20.15   Dorsum techniques Videofocus (videoclips-only session)
(3+1 formula: 3 min videoclip directly followed by 1 min discussion)


CHAIR: Rowe-Jones – Faculty will comment

  1. HAACK – True subperichondral/subperiosteal flap
  2. CERKES – Perichondral/periosteal flaps
  3. KOSINS – Total subperichondrial/subperiosteal dissection of the tip and dorsum with identification, preservation and reattachment of ligaments
  4. GERBAULT – Extended subperiosteal dissection of bony vault and dissection plane above ULC
  5. GOKSEL – Dealing with Levator Labii Superior Alaque Nasi Muscle
  6. DAVIS – Bony hump removal with electric oscillating saw
  7. CELIK – Radix reduction and bony hump reduction with power burr
  8. ROWE JONES – Bony hump reduction with piezo
  9. HAACK – Prefabrication of the osteotomy lines with the coarse diamond burr
  10. MAZZOLA – How to properly sharpen the chisels for a precise osteotomy
  11. GUBISCH – Criss-Cross suture for bone stabilization/reconstruction of the keystone area
  12. KOVACEVIC – Door-Stop implant to keep the medialized bone in position
  13. GERBAULT – Ultrasonic rhinosculpture in dorsum techniques
  14. GERBAULT – Piezo Open Let Down technique
  15. GOKSEL – Radix augmentation
  16. DANIEL – Glabellar-radix dorsal graft
  17. CERKES – Combined use of spreader flaps+ spreader grafts
  18. ROHRICH – Finesse in Dorsal Reshaping in Primary Rhinoplasty
  19. PAUN – Diced cartilage in tissue glue technique
  20. EAST – PRF/Cartilage for the dorsum

20.15  WELCOME COCKTAIL, mingling with Faculty

21.30 – 23.25 Room C (Stucchi) – Night Owl: viewing narrated DVDs (4 videos)

  1. Daniel – Rhinoplasty with tip suture techniques sequence (45 min)
  2. Apaydin – Revision rhinoplasty in pollybeak deformity/crooked tip (20 min)
  3. Goksel – Crooked nose, thin skin, droopy tip, piezo osteotomy (20 min)
  4. Robotti – Post-traumatic nose, bulbous tip, extracorporeal septoplasty (30 min)