Choose between open, closed and hybrid preservation rhinoplasty case by case
The HARM 2.0 rhinoplasty course from Perface Academy pairs Juan Tommasino’s library of short preservation manoeuvre clips — Ishida, Saban, SPQR, Spare Roof, Kovacevic flaps, Ballerina and Pisa Tower concepts — with five chaptered Fernando Nakamura operations spanning dorsal preservation, Puzzle Tip, hybrid structure and base reduction.
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7modules
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72listed lessons
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7h 33mlisted teaching
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5full surgeries
The programme
Academy philosophy & mentoring model
Fernando Nakamura opens with an hour on how the academy approaches hybrid and preservation surgery and how its mentoring community is organised. It frames the later cases around continuous refinement rather than a single fixed technique.
Preservation manoeuvre library
Twenty brief clips from Juan Tommasino each isolate one idea, from high and middle septal strips and bone-cap preservation to subdorsal Z and triangular flaps, Teo suture fixation and the Osmen sliding alar flap. They work as a quick reference before or after watching the full operations.
Open dorsal preservation with Puzzle Tip
The first primary case moves from analysis and incision through radix work, osteotomies, dorsum-to-septum fixation and narrowing, then finishes with footplate sutures and base reduction. Each stage sits in its own chapter for easy review.
Hybrid open rhinoplasty with structured grafts
A second open case blends preservation with structural work: caudal septal repositioning, septal cartilage harvest, graft preparation, cartilaginous roof fixation and tip treatment. PRF combined with diced cartilage on the dorsum is also demonstrated.
Closed SPQR and Spare Roof in the HARM 2.0 rhinoplasty course
Two endonasal operations show an SPQR approach without tip dissection, finished with splints, and a Spare Roof procedure combined with Puzzle Tip plasty and radix grafting. Together they illustrate how much can be achieved without opening the columella.
Structured tip with base reduction
The fourth case preserves the dorsum while building a structured tip, covering bone reshaping, cartilage treatment, osteotomies, alar rim work, tip grafts and staged refinement. Final analysis segments let viewers compare intent with the closing result.
Who it’s for
- Rhinoplasty surgeons compare open, closed and hybrid preservation pathways on primary noses
- Facial plastic surgeons keep a chaptered reference for individual dorsal and tip manoeuvres
- Plastic surgery fellows connect named preservation concepts to complete operative sequences
The consult
Is all narration in English?
Mostly, but two chapters in the first surgery carry Spanish titles, covering incision and dissection plus dorsal and septal work with osteotomies, so expect some Spanish there.
Does purchase include live mentoring or community access?
No — the welcome talk describes the academy’s live programme, but what you receive is the recorded video content only.
Why does the lesson count look different from the module list?
The welcome module is a single presentation rather than separate files, so the itemised chapters add up to slightly fewer than the 72 lessons quoted.
Is this the same as the academy’s other courses?
It is a distinct 2023 programme; the later HRAM Evolution series and the Portuguese Rhino A-Z course come from the same academy and may share concepts.
How quickly is the course available?
You can begin the first module the moment your payment goes through, and access never expires.
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, 72 lessons |
|---|---|
| Listed duration | 7 hours 33 minutes |
| Faculty | Fernando Nakamura · Juan Tommasino |
| Level | Advanced preservation & hybrid rhinoplasty |
| Techniques | Dorsal preservation · SPQR · Spare Roof · Puzzle Tip · base reduction |
| Training models | Technique clips · five chaptered live surgeries |
| Discipline | Plastic Surgery · Rhinoplasty |
| Delivery | Instant access · unlimited access in time |



