Move from nasal analysis to secondary rhinoplasty in one structured pathway
The Portuguese rhinoplasty course Academia Perface Rhino de A-Z 2024 sets Fernando Nakamura’s five fully filmed operations — septal work, osteotomies, rib and conchal cartilage grafting, tip suturing, base reduction — beside recorded live sessions and seventeen theory classes on evaluation, sequencing, CT reading and complication avoidance, taught in Portuguese with subtitled English segments.
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79recorded lessons
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31h 33mlisted teaching
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5filmed operations
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Unlimitedcourse access
The programme
Primary cases filmed step by step
The first two operations are cut into short chapters: analysis, incision and dissection, septum and dorsum management, osteotomies and caudal septal repositioning. Tip work, footplate sutures, PRF-wrapped diced cartilage on the dorsum and alar base reduction complete each case.
Rib cartilage reconstruction in the Portuguese rhinoplasty course
Two cases begin with costal cartilage and abdominal fascia harvest, then show graft carving, spreader grafts versus spreader flaps and septal extension. Lateral crural strut grafts, a composite ear graft and fat grafting appear in the more demanding fourth operation.
Dorsal narrowing, radix and base refinement
The fifth surgery revisits dorsum and septal fixation after osteotomies, then narrows the dorsum and adds diced cartilage at the radix. Footplate suturing and base reduction show how the final contour is balanced from below.
Live sessions on preservation and revision
Close to nine hours of recorded lives include a session on dorsal preservation and osteotomies performed without piezo, plus a dedicated secondary rhinoplasty broadcast. The remaining lives are labelled only by date.
Theory from evaluation to complications
The longest module covers nasal evaluation, operative sequencing, clean surgical technique, a surgeon’s daily routine and light-and-shadow analysis. Later classes address inverse rhinoplasty and tip “puzzle” planning, secondary decision steps, complication management and what truly matters on a CT scan.
Who it’s for
- Portuguese-speaking plastic surgeons follow a complete rhinoplasty curriculum largely in their own language
- Facial plastic surgeons watch structured and preservation steps chaptered for quick revisiting
- Surgeons taking on revisions study rib grafting, composite grafts and secondary decision-making
The consult
Which language is the teaching in?
Roughly half is spoken in Portuguese; the other half is in English with Portuguese subtitles. Many lesson titles are written in Spanish, and no English-only version is offered here.
Are all lessons clearly titled?
Not entirely. Six theory classes in the main module and one live recording carry only a number or file name, so their topics are not identified in advance.
Is the course limited to structured rhinoplasty?
No — it spans conservative, structured, hybrid and secondary work, including a live on dorsal preservation without piezo. Office routine, standardised photography and managing difficult patients are also part of the stated scope.
How does this differ from other Perface Academy products?
This is Nakamura’s Portuguese-language A-to-Z pathway built around his own operations. The separate HRAM and HARM programmes are English-language collections with many guest faculty.
When is the material available to me?
Every module is released to you the instant payment goes through, and it stays in your account indefinitely.
Do I get CME credit or a certificate?
No. Derma Academy provides the course files only — no CME or CE credits, MOC points or certificates of completion are included.
The spec label
| Format | Online video course — 7 modules, 79 lessons |
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| Listed duration | 31 hours 33 minutes |
| Language | Portuguese · English with Portuguese subtitles |
| Faculty | Fernando Nakamura |
| Level | Intermediate to advanced rhinoplasty surgeons |
| Techniques | Septal repositioning · osteotomies · rib grafts · spreader flaps · base reduction |
| Training models | Filmed surgery · recorded lives · theory classes |
| Discipline | Plastic Surgery · Rhinoplasty |
| Delivery | Instant access · unlimited access in time |



