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International Academy of Facial Surgery

RhinoPractice Basic Course

Rhinoplasty,
Step by Step.

Breaking rhinoplasty down into reproducible STEPs.

RhinoPractice Basic Course is a rhinoplasty course for physicians offered by IAFS (International Academy of Facial Surgery). Surgical techniques are learned progressively in small groups.

From observation to understanding. From understanding to repetition.
Learning individual maneuvers as part of a complete operation.
Small-group, continuing surgical education connected to clinical practice.

COURSES

Choose a Course

Course 1

Fully bookedThank you. Waiting list open.

December 2026–February 2027

Course 1 is fully booked. Thank you for your interest. You can join the waiting list through the existing Course 1 application form. For a new course application, please choose Course 2.

Course 1 Waiting List & Details →

Course 2

April–June 2027

Applications for Course 2 are now open. Apply by December 9, 2026 for 20% off, or by February 17, 2027 for 10% off.

Course 2 Applications & Details →

01 / Why IAFS

From individual techniques
to a complete operation.

Knowing individual grafts and suture techniques differs from designing an operation for a particular case. IAFS surgical education bridges that gap.

From preoperative assessment and planning through exposure, septal work, dorsum and tip surgery, to closure, learners examine structure and function and articulate the purpose of each maneuver. Videos, model practice, and case discussions develop judgment and technique.

What is the purpose, what should be preserved,
and what should change?

With safety, reproducibility, and practical relevance as guiding principles, we connect learning to future clinical practice.

FACULTY / BY IAFS

Meet the Course Faculty

RhinoPractice Basic Course, offered by IAFS.

View Faculty Profiles
Dr. Yorikatsu Watanabe

Course Director

Yorikatsu Watanabe

Oversees the educational program as Course Director.

Dr. Shoichi Imai

Faculty

Shoichi Imai

Works with Yorikatsu Watanabe to provide practical instruction, focusing on model-based training.

INTERVIEW / RHINOPRACTICE

Learning rhinoplasty with models.
Two faculty members discuss RhinoPractice.

Faculty members Yorikatsu Watanabe and Shoichi Imai introduce the course and its learning approach: understanding basic maneuvers step by step, repeating them on models, and discussing questions as they arise. The video also introduces the models used in training.

Pressing play loads the YouTube (Google) player.
Watch on YouTube ↗

  • Repeat basic techniques in 10 STEPs

    The surgical workflow is organized into 10 STEPs. Learners review maneuvers seen in surgical videos on models, one stage at a time, then practice them repeatedly.

  • Understanding through external nose and septal models

    A silicone external nose model and a septal model help learners explore the three-dimensional relationship between structure and technique, with attention to both appearance and respiratory function.

  • Small groups with opportunities to ask questions immediately

    Faculty connect knowledge, videos, and model practice through individual guidance. Learners reflect on difficulties and reasoning with instructors to deepen understanding.

This introduction to our educational approach is based on the interview video.
Source:Learning Rhinoplasty with Models: Yorikatsu Watanabe and Shoichi Imai in Conversation / BiOLiS CLINIC.

02 / Educational Method

Practice through STEPs

Break down the technique. Understand its purpose. Repeat the same STEP.
Use faculty feedback to confirm the endpoint before moving on.

PURPOSE

Purpose

Articulate why this maneuver is performed.

PRESERVE

Preserve

Identify the structures to protect.

CHANGE

Change

Understand what the maneuver is intended to change.

ENDPOINT

Endpoint

Share the checks required before moving to the next STEP.

03 / Master the Procedure

Master 10 Steps

Understand open rhinoplasty through 10 STEPs.
Learn the complete sequence, from preparation to closure.

01Preparation
02Incision
03Columellar Flap
04Tip Exposure
05Middle Vault
06Bony Vault
07Septal Dissection
08Septal Harvest
09Framework & Review
10Closure

Detailed anatomy, operative criteria, and endpoints for each STEP are covered in IAFS materials and faculty instruction.

04 / Learning Architecture

Connecting observation to clinical judgment.

COURSE LEARNING CYCLE

01 / OBSERVESEE

Observe the purpose and sequence of maneuvers through lectures and surgical videos.

02 / PLANPLAN

Organize case-specific concerns, goals, procedures, and risks.

03 / PRACTICEDO

Reproduce maneuvers on models.

04 / REVIEWREVIEW

Receive individual feedback on judgment and technique.

05 / CONNECT TO PRACTICEAPPLY

Connect learning to future clinical practice at each learner’s stage of development.

Within DO / Practice Cycle for Each Technique

Deepen understanding and repetition within each STEP.

SEE → UNDERSTAND → PRACTICE → REPEAT → CHECK

Watch → Understand the purpose → Practice on a model → Repeat each STEP → Review with faculty

LEARNING EXPERIENCE

Observe, think, and practice.

01 / Surgical Video

Actively study short segments of surgical video, describing the purpose, structures to preserve, and intended changes with faculty.

02 / Model Practice

Repeat basic maneuvers, graft design, preparation and fixation, and connection to the nasal tip on surgical models, with individual review.

03 / Case Planning

Use a consistent assessment sheet to organize the chief complaint, photographic findings, functional assessment, goals, procedures, and risks for clinical decision-making.

05 / Faculty

Direct feedback on judgment and technique.

Dr. Yorikatsu Watanabe

Yorikatsu Watanabe

Yorikatsu Watanabe / Faculty

Course Director

Deputy Director, Department of Plastic and Aesthetic Surgery, Tokyo Metropolitan Police Hospital
Doctor of Medical Science
Board-Certified Plastic Surgeon, Japan Society of Plastic and Reconstructive Surgery
Board-Certified Aesthetic Plastic Surgeon, Japan Society of Aesthetic Plastic Surgery (JSAPS)
Board-Certified Specialist, Japan Society of Cranio-Maxillo-Facial Surgery

Council Member, Japan Society of Aesthetic Plastic Surgery (JSAPS)
Delegate, Japan Society of Cranio-Maxillo-Facial Surgery
Organizer, Rhinoplasty Study Group

He specializes in craniofacial, reconstructive, and facial aesthetic surgery and practices at Tokyo Metropolitan Police Hospital and Clinica Ichigaya. He completed specialist training in Birmingham, Paris, and Shanghai. His understanding of structure and function, developed through reconstruction for congenital and post-traumatic facial deformities and facial paralysis, also informs his aesthetic practice.

He teaches hands-on maxillofacial surgery seminars and helps organize the Rhinoplasty Study Group, which brings together plastic surgery, aesthetic surgery, and otolaryngology to promote interdisciplinary nasal surgery education.

As Course Director, he oversees the educational program. Drawing on his clinical experience, he shares approaches to case assessment, surgical planning, and the purpose of each STEP with attention to nasal form and function. Through videos, model practice, and case discussions, he helps participants connect judgment with technique and bring learning to clinical practice.

Recommended Reading

Recommended Reading for the Course

We recommend the following books and special issues for preparation and review. They provide references on nasal form and function, procedure selection, and operative techniques. Yorikatsu Watanabe contributed to each publication.

BookRhinoplasty [with Web Videos] — Surgery Integrating Function and Form (Japanese) ↗

Medical View / 2025
Contributed chapters: “External Nasal Morphology” and “Nasal Osteotomy”

BookComprehensive Techniques in Plastic Surgery VII: Aesthetic Medicine (Japanese) ↗

Kokuseido / 2019
Contributed chapter: “Correction of the Deviated Nose” (co-authored with Dr. Miyawaki)

Journal Special IssuePEPARS No. 233: Rhinoplasty Masterclass — Scientific Art of Rhinoplasty (Japanese) ↗

Zen-Nihon Byoin Shuppankai / May 2026
Article: “Hybrid Preservation and Structural Rhinoplasty for the Deviated Nose and Nasal Septal Deviation”

Journal Special IssuePEPARS No. 185: Surgical Strategies in Aesthetic Rhinoplasty by Patient Request (Japanese) ↗

Zen-Nihon Byoin Shuppankai / May 2022
Article: “Increasing Nasal Height without Artificial Implants”

Dr. Shoichi Imai

Shoichi Imai

Shoichi Imai / Faculty

Physician, BiOLiS CLINIC
Staff Physician, Department of Plastic and Aesthetic Surgery, Tokyo Metropolitan Police Hospital
Board-Certified Plastic Surgeon, Japan Society of Plastic and Reconstructive Surgery

His plastic surgery practice focuses on septal and external nasal surgery, alongside academic presentations and rhinoplasty research. In this course, he works with Yorikatsu Watanabe to provide practical instruction, primarily through model-based training. He reviews each STEP with participants and supports skill development through repetition and individual feedback, connecting learning with clinical practice.

Related Publication

Septal Swing Graft for Nose with High Septal Deviation

Shoichi Imai, Yorikatsu Watanabe, Kei Yasuda, Kei Yoshimura
Journal of the Japan Society of Cranio-Maxillo-Facial Surgery. 2025;41(2):52–57.

An original research article reporting correction of a deviated nose with high septal deviation using a septal swing graft.

Read on J-STAGE ↗

DOI: 10.32154/jjscmfs.41.2_52