Program
Draft program – subject to change. This is a non-CME course.
Thursday, November 13, 2025
500P Rooftop Garden Assembly Hall, Stanford Hospital
7:30–7:50 am Registration / Continental Breakfast
Part I — The Basics
7:50–8:00 am Opening Remarks — Sam P. Most, MD, MBA
8:00–8:12 am A little history: Cottle vs Joseph — Fausto Lopez Ulloa, MD
8:15–8:27 am Preservation 101 / Demystifying preservation — Priyesh Patel, MD
8:30–8:42 am High / Intermediate / Low strip approaches — Sam P. Most, MD, MBA
8:45–8:57 am Blocking points in Preservation Rhinoplasty — Abdülkadir Göksel, MD
9:00–9:12 am Endonasal approach – Advantages of the Cottle Method — Oren Friedman, MD
9:15–10:00 am Panel: What would you do for this case?
Moderator: Rod Rohrich, MD
Panelists: Wong, Göksel, Robotti, Cobo
A case (preoperative photos) will be presented by each panelist; the other panelists will comment on their approach.
The approach and results will then be presented and discussed. Bonus: an audience member’s case
will be selected to present and discuss! Each panelist gets 8 minutes.
10:00–10:20 am Break
10:20–10:32 am DAL Split/Tetris Method – Exclusive Recorded Lecture — Jose Carlos Neves, MD
10:35–10:47 am Cartilage preservation techniques when managing small dorsal humps — Roxana Cobo, MD
10:50–11:02 am Surface approaches: Spare roof A & B — Ivan Wayne, MD
11:05–11:17 am Classification and Application of Septal Strip Methods in 200 Patients — Jose Barrera, MD
11:20–12:00 noon Video Panel: Short Structural or Preservation Pearls I
Moderator: JP Pepper, MD
Panelists & Topics:
- Stuart Geldenhuys — SAFE suture
- Fausto Lopez Ulloa — Septo-pyramidal movement
- Enrico Robotti — TBD
- Roxana Cobo — Dorsal Reshaping with Power
- Abdülkadir Göksel — Piezo with limited approach & Coat hanger tip support
- Jose Barrera — Residual Blocking Points
12:00–1:00 pm Lunch
Part II — Structural Rhinoplasty: All we have learned is not lost!
1:00–1:12 pm Patient Selection for Preservation — Sam P. Most, MD, MBA
1:15–1:27 pm Combining structural with preservation in primary rhinoplasty — Enrico Robotti, MD
1:30–1:42 pm Complex Septal Surgery — Priyesh Patel, MD
1:45–2:12 pm Keynote Lecture: Developing Consistency in Rhinoplasty — Rod Rohrich, MD
2:15–2:40 pm Break
2:45–3:15 pm Narrated Surgical Video – Dorsal Preservation
Surgeon: Abdülkadir Göksel, MD — Discussant: Stuart Geldenhuys, MD
3:20–3:32 pm The Structural Tip: A conceptual approach — Sam P. Most, MD, MBA
3:35–3:47 pm Hybrid tip approaches — Enrico Robotti, MD
3:50–4:02 pm Tip Tensioning and other tip methods — Jose Barrera, MD
4:05–4:17 pm Articulated Rim Grafting — Brian Wong, MD, PhD
4:20–5:05 pm Narrated Surgical Video – Hybrid Approach
Surgeon: Enrico Robotti, MD — Discussant: Oren Friedman, MD
5:15–5:30 pm Q&A
5:30–6:30 pm Wine & Cheese with the Faculty
Friday, November 14, 2025
500P Rooftop Garden Assembly Hall, Stanford Hospital
7:30–7:50 am Registration / Continental Breakfast
Part III — Advanced
7:50–8:00 am Opening Remarks — Sam P. Most, MD, MBA
8:00–8:12 am Preservation rhinoplasty philosophy — Abdülkadir Göksel, MD
8:15–8:27 am Incorporating preservation into practice — Priyesh Patel, MD
8:30–8:42 am 15 step preservation rhinoplasty — Fausto Lopez Ulloa, MD
8:45–8:57 am Addressing the crooked nose — Sam P. Most, MD, MBA
9:00–9:12 am Cone Beam CT Scan: why it matters — Enrico Robotti, MD
9:15–10:00 am Narrated Surgical Video — Dorsal Preservation
Surgeon: Roxana Cobo, MD — Discussant: Brian Wong, MD, PhD
10:00–10:20 am Break
10:20–10:32 am The Fusion Sling – Exclusive Recorded Lecture — Jose Carlos Neves, MD
10:35–10:47 am Septal Extension Grafts — Stuart Geldenhuys, MD
10:50–11:02 am The ROSEG Graft — Roxana Cobo, MD
11:05–11:17 am Advanced Endonasal Septal Reconstruction — Oren Friedman, MD
11:20–12:00 noon Video Panel: Short Pearls Part II
Moderator: Seth Davis, MD
Panelists & Topics:
- Stuart Geldenhuys — Caudal Fixation
- Abdülkadir Göksel — Nostril repositioning
- Jose Barrera — Diced Cartilage Augmentation
- Fausto Lopez Ulloa — Endonasal FLI
- Enrico Robotti — TBD
- Oren Friedman — TBD
12:00–1:00 pm Lunch
Part IV — Innovations, Complications, and More
1:00–1:12 pm Applying preservation in revision rhinoplasty — Enrico Robotti, MD
1:15–1:27 pm Hump recurrence in DPR — Ivan Wayne, MD
1:30–2:15 pm Panel: A difficult case and a lesson I learned
Moderator: Roxana Cobo, MD
Panelists: Rohrich, Wayne, Göksel, Lopez-Ulloa, Wong
Each panelist will present a challenging case that may not have gone as planned. The other panelists will comment on
their approaches, followed by discussion of outcomes. Bonus: an audience member’s case will be selected
to present and discuss! Each panelist gets 8 minutes.
2:15–3:00 pm Narrated Surgical Video — Dorsal Preservation
Surgeon: Rod Rohrich, MD — Discussant: Roxana Cobo, MD
3:00–3:20 pm Break
3:20–3:22 pm Going beyond nomenclature in ethnic rhinoplasty — Jose Barrera, MD
3:25–3:37 pm Dead Space Closure — Rod Rohrich, MD
3:40–3:52 pm Revision of the Over-Resected Nose — Sam P. Most, MD, MBA
3:55–4:07 pm Avoiding damage from cautery & crushing — Brian Wong, MD, PhD
4:10–4:55 pm Keynote Lecture: Rib grafting constructs — Enrico Robotti, MD
5:00–5:30 pm Q&A
Saturday, November 15, 2025
Center for Clinical Sciences Research, Stanford
7:30–8:00 am Continental Breakfast
8:00–8:45 am Incision & Approaches — Endonasal, External
8:45–9:15 am Treating the Dorsum / PIEZO — Component vs Preservation, Osteotomy types, Spreaders/Autospreaders
9:15–10:00 am The Structural Tip — Cephalic trims, Dome suturing, Lateral crural work, Tongue-in-groove vs Struts
10:00–11:30 am Free-form tutoring
11:30 am Closure / Final Remarks / Q&A