© 2020

Rethinking Rhinoplasty and Facial Surgery

A Structural Anatomic Re-Analysis of the Face and Nose and Their Role in Aesthetics, Airway, and Sleep


Table of contents

About this book


This volume presents a novel logic-based, simplified understanding and approach to the external nose and face for aesthetics, airway, and sleep treatments that have mostly been under-recognized in the past. Key features of the text include an engineer’s approach to simple rhinoplasty, (Release, Resize, Reposition, Reinforce) instead of the typical step-wise procedure algorithm.  It also includes a logical explanation of how facial skeletal anatomy is the true cause of sleep apnea and aesthetic deformity with the physics and evidence of how this works, and a review of conventional rhinoplasty/facial structural treatments, with an analysis of why these are flawed and need improvement. Finally, rhinoplasty surgical strategy is discussed using a Rhinoplasty Compass(TM) diagram.

 Rethinking Rhinoplasty and Facial Surgery appeals to the surgeon who has grown frustrated with the aesthetic and breathing results of the conventional treatment paradigm.  It also appeals to the otolaryngologist, plastic or oral surgeon who avoids working on the external nose and nasal valve because of the perceived complexity of graft-style rhinoplasty or oversimplicity and limitations of basic septoplasty and turbinate reduction. This book provides a hybrid approach to the nose and face that provides more reliable and straightforward outcomes via an understanding of framework.


Nasal Airway Nasal Valve Nasal Deformity Obstructive Sleep Apnea Oral Breathing Facial Aesthetics

Authors and affiliations

  1. 1.Otolaryngology/Head and Neck SurgeryAlbert Einstein College of MedicineBronxUSA

About the authors

Howard D. Stupak, MD, Albert Einstein College of Medicine, Department of Otolaryngology/Head and Neck Surgery, Bronx, NY

Howard D. Stupak MD, an Associate Professor at the Albert Einstein College of Medicine in New York is a nationally recognized researcher on the nose and airway, and invented the Alar™ device sold by Medtronic Inc.  He lectures and is published extensively nationally on the concepts presented in this book and clinically practices as the director of Otolaryngology and residency site director at Jacobi Medical Center, and in a private practice in Westport Connecticut.

Bibliographic information

  • Book Title Rethinking Rhinoplasty and Facial Surgery
  • Book Subtitle A Structural Anatomic Re-Analysis of the Face and Nose and Their Role in Aesthetics, Airway, and Sleep
  • Authors Howard D. Stupak
  • DOI
  • Copyright Information Springer Nature Switzerland AG 2020
  • Publisher Name Springer, Cham
  • eBook Packages Medicine Medicine (R0)
  • Softcover ISBN 978-3-030-44673-4
  • eBook ISBN 978-3-030-44674-1
  • Edition Number 1
  • Number of Pages XII, 236
  • Number of Illustrations 8 b/w illustrations, 143 illustrations in colour
  • Topics Head and Neck Surgery
    Plastic Surgery
  • Buy this book on publisher's site
Industry Sectors
Health & Hospitals
Surgery & Anesthesiology


“It is most appropriate for senior otolaryngology residents, fellows, or attending physicians. Experienced physician assistants would also likely gain significant value. The book meets the needs of these audience members by providing a new mentality for them and their approach to rhinoplasty, OSA, and nasal obstruction. … it serves as a valuable contribution to the field and one which I am happy to include in my library.” (Alan Micco, Doody’s Book Reviews, February 8, 2021)